MeridianComplete follows CMS guidelines to deliver the appropriate educational pieces to its provider network. Together, we will achieve outstanding quality and increased value in the care provided to our members. Below you'll see which training is required for your plan along with links to the training booklets and training modules.
Fraud, Waste, and Abuse (FWA)
Our FWA overview assists providers participating in FWA prevention and detection. Providers required to complete training: All contracted Medicare providers.
Cultural Competency/ADA Training
Our Cultural Competency Training provides important information to support providers in caring for our Members. Learn how effective healthcare communication contributes to health equity.
Providers required to complete this training: All providers intending to contract with Meridian to provide care for Members under the Integrated Care Program and/or MMAI contracts.
Cultural Competency Training
Consumer Assessment of Healthcare Providers and Systems (CAHPS®)
CAHPS surveys help members provide feedback on a variety of Meridian healthcare services they receive. Use the link below to learn more.
Jimmo v. Sebelius Information
On January 24, 2013, the U.S District Court for the District of Vermont approved a settlement agreement in the case of Jimmo v. Sebelius. The settlement clarifies skilled care delivery for skilled nursing facilities (SNFs), home health (HH), inpatient rehabilitation (IRFs), and outpatient therapy (OPT) benefits. The Centers for Medicare and Medicaid Services (CMS) has instructed Medicare insurers like Meridian Health Plan to convey this information to our providers to ensure that services are provided and coverage determinations are adjudicated accurately and appropriately in accordance with associated policy.
For documentation requirements, revisions to relevant portions of the Medicare Benefit Policy Manual, frequently asked questions and their responses, please visit the CMS website or review the following materials below: