The sponsor should ensure that CMS is able to validate, through review of governing body meeting minutes or other documentation, the active engagement of the governing body in the oversight of the …

Anthem’s Medicare FDR Oversight Program maintains a high-level oversight of Anthem’s contracted FDRs to ensure each FDR meets applicable CMS’ compliance program effectiveness requirements.

Aug 30, 2025 · Beginning in 2026, new compliance requirements for FDRs (First Tier, Downstream, and Related Entities) will take effect. These rules come from the Centers for Medicare & Medicaid …

The Medicare Compliance Officer is responsible for reporting information related to FDR identification and oversight to the Compliance Committee, BOD and/or CMS when necessary.

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 …

Our partnership with you — an FDR — is important to us. We need you to help fulfill our contracts with CMS. And you can rely on us for the teamwork and support you need. Together, we’ll provide quality …

By completing the Annual FDR Attestation, your organization reaffirms its commitment to meeting CMS regulatory requirements and upholding the standards delegated through our contractual agreement.

Sep 10, 2024 · This section contains information related to the CMS' Compliance Program Policy and Guidance and will assist Medicare Plans and the public in understanding Part C and Part D …

CMS may hold the Company accountable for FDR compliance with these requirements. The Company maintains ultimate responsibility for FDR fulfillment of the terms and conditions of its contract with …

In a 2018 CMS Final Rule, (published April 16, 2018), CMS implemented a new requirement, which became effective January 1, 2019, for MA Sponsors to check all providers, suppliers, or prescribers, …