If you have any questions regarding the information in CCA’s provider manual, please email Provider Relations at [email protected].
Section 17: Provider Training
Training and shared learning among our contracted providers is a key element of our strategy for communicating best practices and assuring the quality and integration of services delivered to Commonwealth Care Alliance members.
All contracted providers, and their downstream and related entities, must comply with federal and state requirements for fraud, waste and abuse training and annual compliance training of all employees. Instructions for performing these trainings and Commonwealth Care Alliance oversight can be found on our website here.
In addition to the training above, Commonwealth Care Alliance providers contracted as primary care providers, and their downstream and related entities, must comply with state requirements for training which include trainings for compliance, cultural competency, and model of care.
Commonwealth Care Alliance reserves the right to request verification that all primary care site providers and their downstream and related entities have completed required trainings. Failure to demonstrate compliance with training requirements may result in Commonwealth Care Alliance terminating its contract with the primary care site.
All contracted Behavioral Health Facilities that offers inpatient care are required to have human rights protocols in place. These protocols must be consistent with the Department of Mental Health (DMH) protocols and periodically reviewed. The protocols include, but are not limited to, staff training and education. In addition to training, the facility should also have, if not designate, a human rights officer, a human rights oversight committee and be able to provide written documentation to members regarding these rights.
All licensed clinicians must obtain CEU’s to maintain their license. It is the provider’s responsibility to ensure that staff have valid licensure and documented on an annual basis. CCA has the right to request documentation to audit the validity of all licenses to ensure they are current and valid.