MANDATORY – Fraud, Waste, and Abuse (FWA) Training for HPSJ Providers

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Date: September 4, 2020
To: Health Plan of San Joaquin
From: Health Plan of San Joaquin (HPSJ) Providers
Subject: MANDATORY – Fraud, Waste, and Abuse (FWA) Training for HPSJ Providers
Business: Medi-Cal

Health Plan of San Joaquin (HPSJ), is a licensed health care services plan regulated by the Department of Managed Health Care (DMHC) and contracted with the Department of Health Care Services (DHCS). HPSJ is committed to protecting members, our network of providers, and public interests by preventing, detecting, investigating, correcting, and reporting Fraud, Waste, and Abuse (FWA).

Under legal requirements overseen by the federal Centers for Medicare & Medicaid Services (CMS), 42 C.F.R. §422.503 and 42 C.F.R. §423.504, you are required to either complete the FWA training offered on the HPSJ website and send HPSJ a signed attestation, or attest that you have completed another, acceptable FWA training.

Training Resources Available for You
To help you meet the annual FWA training requirement, Health Plan of San Joaquin is
providing this training, at https://www.hpsj.com/fraud-waste-and-abuse-prevention-training/

Mandatory Attestation Process
By Monday, November 2, 2020 please complete and digitally sign the attestation form.
The attestation form is also included with the online training on the HPSJ website
(https://www.hpsj.com/fraud-waste-and-abuse-prevention-training/). It requires your
signature to:

  1.  Attest to receipt of these training materials
  2. Confirm you have completed review of these materials
  3. Acknowledge you have taken part in a Fraud, Waste, and Abuse training

Unfortunately, FWA in health care is prevalent and expensive. Although there are no precise measures, it is estimated FWA in government health care services programs costs taxpayers billions of dollars every year. Not only is this a waste of funds, it can also affect HPSJ member safety, and access, and cause care issues.

As always, we appreciate your partnership, including the timely completion of training in the fundamentals of health care FWA prevention, detection, and correction. If you have any questions, please contact our Customer Service staff at 209.942.6320.

Posted on September 4th, 2020 and last modified on September 8th, 2022.

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