Medicare Compliance Program

CHRISTUS Health Plan is committed to operating a health plan that meets the requirements of all applicable laws and regulations of the Medicare Advantage and Part D programs. As part of an effective compliance program, the Centers for Medicare and Medicaid Services (CMS) requires Medicare Advantage plans to ensure that any FDRs to which the provision of administrative or health care services are delegated are also in compliance with applicable laws and regulations.

• FDR Medicare Compliance Program Guide (PDF)
• FDR Training Requirements (PDF)
• FDR Annual Compliance Attestation (PDF)
• Screening Log
• Employee Training Attendance Log Example (PDF)
• FDR Medicare Compliance Program Self-Assessment Tool (PDF)
• FDR Code of Conduct and Compliance Program Policies Announcement Template (PDF)
• Preclusion List Screening Log (PDF)
• OIGGSA Exclusion Screening Log (PDF)
• Offshore Services Attestation