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CarePlus and our parent company, Humana, have adopted a training document published and required by the Centers for Medicare & Medicaid Services (CMS) that addresses this subject matter. For purposes of the relationships that contracted health care professionals and business partners* have with CarePlus, this training, including all references and requirements related to Medicare Part C and Part D, is applicable to all CarePlus lines of business.
Contracted health care professionals and business partners supporting CarePlus’ Medicare products must use CMS content on these two topics to train their employees and those supporting their organization to meet certain contractual obligations to CarePlus.
*CMS designates these as first-tier, downstream and related entities (FDRs).
Accessing the CMS Training File
For additional information about FWA, please refer to the link below:
This policy communicates the strong and explicit organizational commitment of CarePlus and our parent company, Humana, to conducting business ethically, with integrity and in compliance with applicable laws, regulations, regulatory guidance and requirements. We require contracted health care providers and business partners to uphold a similar commitment to ethical conduct and ensure that they, their employees and downstream entities who support CarePlus, comply with the guiding principles outlined within this policy.
Here we have posted our Ethics Every Day for Contracted Health Care Providers and Business Partners, which is closely aligned with the standards of conduct for employees of CarePlus and our parent company, Humana. We invite contracted health care professionals and business partners to review this information as soon as possible, as we require that this document either be adopted for their employees and downstream entities supporting CarePlus or that materially similar content be communicated to these audiences.
Once you have reviewed all the information outlined above, please note that a signed, CarePlus attestation form must be submitted to CarePlus. The attestation is intended to be completed at the contract level; as such, if your organization has multiple tax identification numbers (TINs) under one group contract, please complete one form and list each TIN on that form.
You may submit the completed attestation form via any of the methods outlined below:
CarePlus Health Plans, Inc. 11430 NW 20th St., Suite 300 Miami, FL 33172 Attention: Provider Operations Dept.