Required Training - Fraud, Waste and Abuse

Medicare Part D is a federal program used to subsidize the cost of prescription medication to Medicare beneficiaries. The Medicare Prescription Drug, Improvement, and Modernization Act (MMA), which established the Medicare Part D program, requires Rocky Mountain Health Plans (RMHP) to create and distribute Part D Fraud, Waste and Abuse training information.  RMHP also provides Fraud, Waste and Abuse training in relation to its other Medicare, Medicaid and Child Health Plan Plus program participation, and other health plans.  This training is required to be completed by RMHP employees as well as downstream and first-tier entities upon hire or contract, and annually thereafter.

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Fraud, Waste, and Abuse Attestation for Pharmacy Providers

The bottom line on fraud

Health care and insurance fraud and abuse costs each one of us – estimated at more than $100 billion annually in the United States alone.  The majority of frauds are discovered and stopped because someone got involved and reported the wrongdoing.

Use the Fraud Investigation Referral Form to send RMHP some of the information necessary to conduct a proper fraud investigation.  Thank you for your help.