Contracted Health Care Provider Compliance Attestation
The Centers for Medicare & Medicaid Services (CMS) requires any organization or individual that contracts with Health Partners Plans (HPP) to provide administrative or healthcare services to beneficiaries to comply with various CMS program requirements. By completing the following attestation, you certify that your organization is committed to ensuring compliance with HPP and CMS requirements. Additional information on the below requirements can be found on our website at:
https://medicare.healthpartnersplans.com/medicare-fdr-information
This attestation must be submitted back to HPP within 30 calendar days from the date of request.
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Code of Conduct and Compliance Policies for Contracted Health Care Providers
HPP complies with CMS' distribution of the Code of Conduct (COC) and Compliance Policies requirements. HPP provides access to HPP's COC and Compliance Policy via the Provider Manual. Furthermore, HPP ensures the documents are readily available on HPP's Medicare FDR Webpage.
I hereby acknowledge and agree that my organization:
If the organization does not adopt and comply with HPP's COC and Compliance Policy, or a materially similar version, please provide an explanation below.
Organizations with Downstream Entities
If the Organization either does not comply with CMS’ COC & Compliance Policies distribution requirements, or satisfies the requirements via a different method not listed above, please provide an explanation below.
As authorized representative for the below named organization, I certify that I have reviewed and understand all of the requirements within HPP's vendor policy, that the above statements are true to the best of my knowledge, and that my organization maintains records that support our compliance.