This section outlines regulatory compliance program requirements for Medicare.
Delegates working on our organization’s Medicare Advantage Part C or Part D programs must provide to their employees either their own written policies, procedures or standards of conduct that include all the required CMS elements, or the UnitedHealth Group Code of Conduct.
Find the UnitedHealth Group Code of Conduct in the Standards of Conduct section.
* Important note: Beginning in 2016, delegates are required to use CMS Parts C and D FWA and General Compliance training. [Providers deemed to have met FWA training requirements through certification for Medicare Parts A & B or through accreditation as a Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) provider are still required to complete CMS General Compliance training.]
Confidential reports can be made to UnitedHealth Group’s Vendor Fraud Hotline: 877-401-9430
Key Regulatory and Guidance Information and Resources
Find more information on Fraud, Waste & Abuse and Compliance.
Notification is required for excluded individuals or entities. UnitedHealth Group Compliance & Ethics Help Center: 800-455-4521
Find more information on Exclusion Checks.
Delegates must retain records for 10 years to show compliance with regulatory requirements.
Find more information on Document Retention.
Find more information on Downstream Delegates.