Capital Health Plan has maintained a program to detect and prevent fraud, waste, and abuse since 2000. CHP's program includes promoting awareness among its employees, providers, and members. Written policies, procedures, and internal controls are in place. If you suspect fraud, waste, and/or abuse or have any questions or concerns, please call Capital Health Plan at one of the telephone numbers listed on this page.
Capital Health Plan is committed to fairness in everything that we do, so that our activities reflect positively on those whom we serve and on CHP. CHP has developed comprehensive Compliance Policies and Standards of Conduct, which collectively are known as CHP's Beacon Program. The Beacon Program provides basic guidance on the principal ethical and legal rules that affect CHP's activities. Directors, officers, and employees learn about conduct that might raise legal or ethical questions and the principles to be followed in business relationships.
Through annual training, CHP staff has developed a heightened awareness of good business ethics and how to identify and prevent fraud, waste, and abuse. CHP also contracts with the Special Investigative Unit of Blue Cross® Blue Shield® of Florida to provide for all new staff training on fraud, waste, and abuse awareness and to investigate any allegations of fraud, waste, or abuse. These activities regularly are reported to CHP's Board of Directors. CHP's Fraud, Waste and Abuse Awareness and Reporting Policy is available below.
Reviewed October 2008
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