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Compliance Program

Select Health’s program prevents, detects, and corrects non‑compliance, including FWA, across Medicare, Medicaid, and commercial networks.

What do providers need to do to be compliant?

Explore each of the areas below for compliance requirements that may apply to your practice.

Provider Demographic Information

Attest and update your demographic information.
Demographic Information

Compliance Program/Fraud, Waste, & Abuse (FWA)

Learn how to comply with Federal program, training, and attestation requirements.
FWA Requirements

Cultural Competency

Become more culturally competent and understand why it is important for your practice.
See Cultural Competency

ADA Accomodations

Help members find providers who best meets their ADA needs.
ADA Accommodations

Qualified Medicare Beneficiaries (QMBs)

Access information about this CMS program for low-income Medicare beneficiaries.
See QMBs

Standard Wait Times

Find out what standard wait times should be and how Select Health promotes compliance.
See Wait Times

Which plans have compliance program requirements?

Select Health Plan Type
Compliance Requirements
Commercial (All States)
Medicare (All States)
Utah Medicaid (Select Health Community Care)
Provider Demographic Information
Compliance & Fraud/Waste/Abuse (FWA)
Equal Access Accommodations (ADA)
Cultural Sensitivity Training
Qualified Medicare Beneficiaries (QMBs)
Appointment Wait Times


Access Provider Surveys for information on timing and applicable states for each.

How are providers involved in the Select Health compliance program?

Select Health relies on our contracted providers and other contractors to help us meet the needs of our members. These individuals and organizations are considered First Tier, Downstream, and Related Entities (FDRs), who:

  • Provide health or administrative services to Select Health Medicare and/or Select Health Community Care (SHCC) Medicaid members
  • Are a vital part of the Medicare program
  • Have specific responsibilities under the Medicare and Medicaid guidelines

Contracted providers on the SHCC network must abide by all applicable State and Federal regulations as indicated in the SelectHealth Professional Practitioner Services Agreement (PPSA) and applicable appendices.