As a Medicare Advantage (MA) plan, Regence must comply with the Centers for Medicare & Medicaid Services (CMS) regulations and requirements. Many of these also apply to first tier, downstream and related entities, such as participating physicians, dentists, other health care and dental professionals, facilities, contractors and vendors.
We are currently enhancing our Medicare compliance program and increasing monitoring efforts to ensure all applicable requirements are met. If you are a contracted Regence MedAdvantage provider, we encourage you to fully review the requirements for MA providers located in the Medicare Advantage Plans section of our Administrative Manual and, if necessary, take action now to ensure that you are in compliance.
Key requirements include:
Learn more about the requirements (PDF) and steps to take for complying with them.