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FirstCarolinaCare Insurance Company Compliance Program

FirstCarolinaCare Insurance Company (FCC) is pleased to provide for our First Tier, Downstream, and Related entities (FDRs) the resources needed via this webpage to ensure an effective compliance program for our members. Because of your partnership with FCC, your organization must comply with the Centers for Medicare and Medicaid Services (CMS) guidelines and regulations, FCC’s Code of Ethical Conduct, Policies and Procedures, and other regulatory guidance and communications as outlined in your contract with FCC.

In the list below you will find links to information you will need in order to ensure that you and your downstream entities are in compliance with all applicable requirements. Please review these links to ensure your organization understands the requirements to comply, and the documentation needed to validate compliance.

General Compliance and Fraud, Waste, and Abuse Training

Medicare Compliance Policies

Annual Compliance Attestation

Report Fraud, Waste and Abuse