The Centers for Medicare and Medicaid Services (CMS) and Passport Advantage requires Medicare Providers – First Tier, Downstream & Related Entities (FDR) to meet certain Medicare Education and Training requirements. Including:
  • Receive and complete General Compliance (GC) and Fraud, Waste and Abuse (FWA) training annually
  • Standards of Conduct (Code of Conduct) policies and procedures
  • Passport Advantage Model of Care (MOC) and Our Product (Passport Advantage Dual Special Needs Plan) Training
  • Screening employees against the Office of Inspector General’s (OIG) List of Excluded Individuals & Entities (LEIE) & General Services Administration (GSA) systems
  • Monitor or provide the above mentioned training to employees and any downstream entities that your organization involves in providing services on behalf of Passport Advantage and/or their Medicare Part C & D members
  • Maintain training records of the above required training, and be able to produce those records if needed for 10 years
  • Have in place a system in your organization to receive, record, respond and track compliance questions, concerns & potential FWA that emphasizes a policy of non-retaliation & non-intimidation
  • Report to Passport Advantages Compliance any and all reported situations of non-compliance & potential FWA as it relates to Passport Advantage members

*Providers contracted with Passport Advantage require a returned Attestation to verify compliance. 

Upon completion of requirements listed in the 2017 Provider Attestation, please fill out and submit the electronic version sent to you via email.  If you did not receive an electronic version  of the 2017 Provider Attestation; it was because we did not have valid email contact information. In that case, you can access a hard copy below and return to Passport by email @  PADTraining@passporthealthplan.com, by fax to  502-585-7985, or by mail to

Attn: Compliance Department
Passport Advantage
5100 Commerce Crossings
Louisville, KY 40229

For questions contact Provider Services at 1-844-859-6152  or email at ProviderInquiries@passporthealthplan.com

For your convenience documents can be accessed below:

  • Provider Attestation: click here
  • Compliance Training Guide: click here
  • FAQ: click here
  • Medicare Advantage First Tier, Downstream & Related Entities General Compliance and Parts C & D Fraud, Waste & Abuse Training: click here (Under “Training Catalog”, click on “Medicare Parts C and D Fraud, Waste, and Abuse Training and Medicare Parts C and D General Compliance Training)  
  • Passport Advantage Model of Care & Our Product: click here

 

Last Modified: February 5, 2018