First Tier, Downstream and Related Entities (FDR)



Documents & Resources


Annual Attestation and FAQ

  • 2025 Annual Compliance Program and Offshore Subcontractor Attestation


  • First Tier, Downstream and Related Entities (FDR) Frequently Asked Questions (FAQ) and Answers

Compliance Program

  • CMS’ Compliance Program Guidelines and Prescription Drug Benefit Manual

Exclusion List Screening Information

Compliance Guide

HIPAA

  • https://www.hhs.gov/hipaa/for-professionals



Additional Forms and Information


Corrective Action Plan Template and Instructions

  • How to Report Ethics, Compliance, and FWA Concerns


  • Corrective Action Plan Template


  • Corrective Action Plan Template Instructions


Newsletters




Program Vendors


Please email the Privacy and Vendor Oversight Team for questions or assistance:


Privacy and Vendor Oversight Team




Report Suspected Fraud & Abuse


Fraud, Waste and Abuse (FWA) can be committed by a member, doctor or other plan provider.


Report Fraud