Summary
This document is a newsletter focused on Medicare compliance for First Tier, Downstream, and Related Entities (FDRs) for the second quarter of 2024. It outlines key updates regarding the Medicare Advantage and Part D programs, including the final rule released by the Centers for Medicare & Medicaid Services (CMS) for 2025. The rule emphasizes health equity analysis in utilization management policies, requiring annual assessments and public disclosures. Additionally, the newsletter details changes to the Medication Therapy Management (MTM) program, expanding eligibility criteria to improve medication adherence and health outcomes. It also addresses compliance training requirements for FDRs, mandating completion of a Medicare Compliance attestation within 90 days of contracting and annually thereafter. Furthermore, the document discusses upcoming changes to the SAM.gov exclusions APIs and best practices for maintaining disciplinary standards and enforcement within organizations. These updates aim to ensure compliance with CMS regulations and promote a culture of accountability among FDRs.
