Fraud, Waste & Abuse Training for Providers and Pharmacists
The Centers for Medicare and Medicaid Services (CMS) requires all health plans offering Medicare Advantage – Prescription Drug plans ensure participating providers and pharmacists complete Fraud, Waste & Abuse Training annually.* This training must be completed by December 31st of each year.
If you’re a First Tier, Downstream, or Related Entity (FDR) currently enrolled in the Medicare program or accredited as a Durable Medical Equipment, Prosthetic, Orthotics and Supplies (DMEPOS), we’ll consider you as having met the training and educational requirements for fraud, waste & abuse. For additional information, refer to the CMS regulation document. If you have any questions or need assistance with this process, please contact our Compliance Manager at SWHPComplianceDepartment@bswhealth.org or Customer Advocacy Department at 1-800-321-7947.
Pharmacist Fraud, Waste & Abuse Training
All members of the pharmacy staff must complete the Fraud, Waste & Abuse Training. Click here to begin your training online. Only one FWA Training Attestation Form is required per pharmacy, and it should be completed by the Head Pharmacist or Store Manager.
Provider Fraud, Waste & Abuse Training
If you’re a provider, click here
to begin your training online. If you have already completed your training requirements through another mechanism, complete and submit the FWA Training Attestation Form
*See 42 CFR 422.503, 422.504, 423.504, 423.505 et seq.; see also Centers for Medicare and Medicaid Services, Prescription Drug Benefit Manual, Chapter 9 - Part D Program to Control Fraud, Waste and Abuse.