Medicare Part D: The Medicare prescription drug benefit program. We call this program “Part D” for short. Medicare Part D covers outpatient prescription drugs, vaccines, and some supplies not covered by Medicare Part A or Medicare Part B or Medical Assistance. Our plan includes Medicare Part D.Medicare Part A: The Medicare program that covers most medically necessary hospital, skilled nursing facility, home health, and hospice care.
Medicare Part B: The Medicare program that covers services (such as lab tests, surgeries, and doctor visits) and supplies (such as wheelchairs and walkers) that are medically necessary to treat a disease or condition. Medicare Part B also covers many preventive and screening services.Medical Assistance: This is the name of Minnesota’s Medicaid program. Medical Assistance is run by the state and is paid for by the state and the federal government. It helps people with limited incomes and resources pay for long-term services and supports and medical costs.
It covers extra services and some drugs not covered by Medicare. Medicaid programs vary from state to state, but most health care costs are covered if you qualify for both Medicare and Medicaid.

FDR Compliance

South Country relies on our contracted providers to help us meet the needs of our members. These individuals and organizations are considered First Tier, Downstream and Related Entities (FDRs). FDRs are individuals or entities who provide administrative and/or health care services in connection with South Country programs. As an FDR, your organization must comply with Medicare Compliance Program requirements including, but not limited to:

  • Distribution of Standards of Conduct and Compliance Policies and Procedures
  • General Compliance and Fraud, Waste and Abuse (FWA) Training
  • Office of Inspector General (OIG) and the Government Services Administration (GSA) Exclusion Screening
  • Monitoring and Auditing Downstream Entities
  • Record Retention
  • Reporting FWA and Compliance Concerns

FDRs are vital to the success of South Country’s programs and services. We have created a FDR Compliance Guide to assist FDRs in understanding and meeting compliance obligations under its contract(s).

Links on this page provide information relating to the FDR Compliance Guide, Annual Attestation ans CMS Fraud and Abuse Booklet.

Translate »
Accessibility by WAH