Medicare Advantage Compliance Training
Delta Dental’s alliances with various Medicare Advantage Organizations (MAOs) require contracted dentists to complete the standardized General Compliance Training and Fraud, Waste and Abuse (FWA) training provided by the Centers for Medicare and Medicaid Services (CMS) each year.
In addition, each practice must have a written Code of Conduct that meets CMS requirements in place, or the practice can incorporate Delta Dental’s Code of Conduct to meet this requirement.
Dentist and staff requirements
Contracted dentists and staff must complete the standardized Centers for Medicare and Medicaid Services (CMS) Compliance Training by December 31st of each year.
New contracted Delta Dental dentists must complete the standardized Centers for Medicare and Medicaid Services (CMS) Compliance Training within 90 days from the contract effective date.
Each new employee in a contracted dental office must complete the standardized Centers for Medicare and Medicaid Services (CMS) Compliance Training within 90 days from the employee’s hire date.
To complete the standardized CMS Compliance Training, here are two online ways to obtain the material:
- CMS Web-based Training Upon completion, you will be issued a certificate that can be used as proof of completion for any carrier. Contracted providers will still need to complete the Medicare Advantage Annual Attestation for Downstream Entities.
- CMS Training Document(PDF, 573KB)
If you’ve already taken the standardized CMS Compliance Training for this year, please complete the Medicare Advantage Annual Attestation for Downstream Entities. (PDF, 231KB)*
If you use an offshore subcontractor(s) that processes, handles or accesses Delta Dental enrollee information for this year, please complete the Offshore Subcontractor Attestation(PDF, 177KB)
Code of Conduct and Ethics
Our Code of Conduct(PDF, 101KB) (COC) includes ethics, values and principles about acceptable business conduct. Honesty, integrity, transparency, compliance and accountability are integrated into all business activities.
It is important that dentists and staff read and understand the COC. This COC (or one that meets or exceeds the elements found in it) should be adopted and distributed to each dental office employee within 90 days of hire, when updated and annually thereafter.
- *CMS considers Delta Dental and our contracted providers that treat (or may treat) Medicare Advantage patients as “first-tier, downstream and related entities”, abbreviated as FDRs. You may see the terms “downstream” or “FDR” in CMS training and other documents.