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Compliance

Compliance

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Scott and White Health Plan Compliance

Scott and White Health Plan’s commitment, as part of the Baylor Scott & White family, is to be the most trusted name in giving and receiving safe, quality, compassionate health care. To ensure this, Scott and White Health Plan and all of its employees strive to uphold the highest ethical standards in regard to federal and state regulations as well as our own internal policies and procedures on quality, patient rights, confidentiality, and more.

Report Fraud, Waste and Abuse — Healthcare fraud costs Americans billions of dollars each year. Here at Scott and White Health Plan, we are dedicated to protecting you against fraudulent conduct. Visit the link to learn more about our FWA policy.

Privacy Policy — Scott and White respects your privacy as a visitor to our website. The information collected during your visit is limited and only used to help us support and enhance our relationship with you. Your information may also be used to improve our services, your healthcare, and your online experience.

HIPAA — HIPAA is a federal law that protects your medical information whether written, electronic, or oral. You’ve most likely run into HIPAA when you sign a form at the doctor’s office. Health plans, doctors, hospitals, and other healthcare providers must adhere to the rules and requirements outlined by HIPAA.

First Tier, Downstreams and Related Entities (FDR) — Scott and White Health Plan (SWHP) must follow all applicable laws, regulations, and standards. SWHP also must follow the guidelines for compliance issued by the Office of Inspector General of the U.S. Department of Health and Human Services. These guidelines indicate that vendors, suppliers, and contractors who partner with SWHP should follow the same compliance guidelines as SWHP while working on SWHP business.

Compliance Concerns — Scott and White Health Plan is committed to the highest standards of business and professional ethics and integrity. Visit the link for more information and reporting.

Report Fraud, Waste and Abuse — Healthcare fraud costs Americans billions of dollars each year. Here at Scott and White Health Plan, we are dedicated to protecting you against fraudulent conduct. Visit the link to learn more about our FWA policy.

Potential Schemes Related to COVID-19 — Scammers are using telemarketing, text messages, door-to-door visits as well as social media to conduct their fraudulent activities. These individuals are offering COVID-19 tests, grants and prescription cards in exchange for personal information to benefit themselves and harm the public.

Ways to protect yourself from fraud, waste and abuse schemes:

  • Never share information to unknown individuals. This should include date of birth, social security number, Medicaid or Medicare numbers, health care details, financial or other personal identifiable information. Sharing this type of information can lead to identity theft.
  • Review your explanation of benefits (EOB) or MyBSWHealth for suspicious activity or claims.
  • Ignore offers or advertisements for COVID-19 testing or treatments on social media.
  • Never post photos of your COVID-19 vaccination cards on social media.
  • Do not open links in text messages from unknown individuals.
  • Do not trust any unexpected calls or visitors offering COVID-19 tests or supplies.
  • Do not pay anyone to speed up your vaccine eligibility.
  • Report suspected fraud to health plan helpline: 1-888-484-6977