WebDisclosure CMS 2014 ReadinessChecklist –C.III –Changes to First Tier/Downstream/Related Party (FDR) Contracts for Key Part C and Part D Functions State • Vary by state • May also be included in other state contracts, such as for Medicaid or dual Medicare-Medicaid plans 4 FDR Requirements February 9, 2014 Webensure that the FDR is also monitoring and auditing their downstream vendors as well. For example, if a plan contracts with an IPA or hospital group as a first tier entity, the plan should ensure that the first tier entity is also auditing its downstream contractors, which in this case are individual providers and/ or hospitals.
First-tier, Downstream, or Related (FDR) Entity Practical Law
WebDownstream Entity: any party that enters into a written arrangement, acceptable to CMS, with persons or entities involved with the MA benefit or Part D benefit, below the level of … Web1. What does FDR mean? FDR stands for first tier, downstream and related entities. If you perform administrative or health care services on behalf of Aetna's Medicare business, … imaging healthcare services hillcrest
VENDOR FIRST TIER, DOWNSTREAM AND RELATED ENTITIES …
WebMar 25, 2024 · First-Tier, Downstream and Related Entities (FDR) Compliance. As a CareFirst BlueCross BlueShield Medicare Advantage (CareFirst) partner, we know you will embrace the core values that drive our success and culture. We also expect you to respect the following tenets, which are central to how we conduct ourselves and everything we do: WebMedicare First Tier, Downstream and Related Entities (FDR) Compliance Guide HEALTH PARTNERS PLANS, Inc. 901 Market Street, Suite 500 Philadelphia, PA 19107 Health … WebFDR: First tier, downstream, and related entity. First Tier: Any party that enters into a written arrangement to provide administrative or health care services to a Medicare eligible individual under the Medicare Advantage or Part D program. Downstream: Any party that enters into a written arrangement with a First Tier to provide imaging haddon heights nj