Getting notices from BCBS, UnitedHealthcare, Aetna or Cigna about annual training? If you’re in their Medicaid networks, it likely applies to you. Here’s what it covers and who can skip it.
Transcript:
It’s that time of year, and some of our members are receiving information, or requests, or notifications from a variety of different carriers telling you that you may be required to complete some specific annual training. That training typically, if you look very closely at the information, surrounds specifically Medicaid-enrolled patients. And so if you are contracted with any of the carriers, and it could be anywhere from Blue Cross Blue Shield, UnitedHealthcare, Aetna, Cigna, et cetera, if you’re contracted with them specific to their Medicaid MCO program or managed care organization that is specific to Medicaid, then you do have to complete annual training.
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Now, many times you can use that training. If you take it with one entity, you can actually apply it to another entity, but you have to check your contracts to see if that’s allowable. It’s usually done through an attestation or through a quick survey questionnaire, things along those lines, so that they can validate that you actually have gone through your annual training. Again, it’s very specific to Medicaid patients typically. So look at that notification closely. By the way, if you haven’t received the notification, don’t panic. It’s okay. If you are contracted with one of these MCOs or MMAIs or community care programs that are again specific to Medicaid, then you may want to go out and see if you have received a notice or if you are required to do that on an annual basis.
Typically, the answer to that is yes. And what does this training cover? Well, it’s gonna cover things like fraud, waste, and abuse, neglect, and exploitation, cultural competency and health equity, uh, the Americans with Disabilities Act, or the ADA, um, model care, and, uh, Medicare Part C and D general compliance, which most likely is not gonna apply to you. We’re more focused on the other components specific to Medicaid. Um, and so, make sure that you dig into that and take the training if it applies to you, and if you are a part of that Medicaid network. So if you’ve signed a contract and you’re part, and you’re a participating provider with a Medicaid program, then odds are that training does apply to you.
Now, if you do get this notice and you do not treat Medicaid patients and you’re not in network with those specific those specific providers or companies, if you will, or networks, if you’re not a part of that PPO arrangement for Medicaid patients, then those warnings that they indicate that they’re Medicaid do not apply to you. And so don’t worry about it. That’s what we’re trying to help out with, and that’s what the training covers. And hopefully this helps you out. We’ll catch you next week.
