Compliance at ATRIO

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Compliance Program

As a Medicare Advantage Plan and recipient of federal funds, ATRIO Health Plans has the responsibility to ensure the integrity of health plan operations. This document reflects the Office of Inspector General (OIG) and the Centers for Medicare & Medicaid Services (CMS) interpretation of the Compliance Program requirements and related provisions, as adopted and implemented by ATRIO.

ATRIO Compliance Program

Members Rights & Responsibilities

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Standards and Ethics

ATRIO Health Plans will conduct its business in compliance with all federal, state, and local laws, rules and regulations in a manner consistent with the highest standards of business and professional ethics.

If you believe anyone who is or was employed by, contracted with, or otherwise associated with ATRIO Health Plans has done any of the below, please report this immediately to ATRIO's Medicare Compliance Team:

• Violated any federal, state or local laws, rule or regulation;
• Behaved in a manner that does not meet business and professional standards and ethics;
• Acted in a way to create an unsafe environment by use of violence, harassment or discrimination; or
• Directed you to act in a way that is illegal, unethical or unsafe.

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How to Report an Incident

Internal Reporting Options:

1. By completing and submitting the form found here.
2. Email ATRIO Compliance: Click Here
3. Call our Compliance Hotline: 877-309-9952
4. Postal Service (anonymous reporting mechanism):
   Compliance Officer ATRIO Health Plans, Inc.
   2965 Ryan Drive SE
   Salem, OR 97301
   OR
   Compliance Officer ATRIO Health Plans, Inc.
   PO Box 12645
   Salem, OR 97309

External Reporting options:

1. Contact Office of Inspector General (OIG):
   • 1-800-447-8477 (TTY 1-800-277-4950)
   • HHSTips@oig.hhs.gov
2. Contact the Centers for Medicare and Medicaid Services (CMS):
   • 1-800-MEDICARE (1-800-633-4227) (TTY 1-877-486-2048), 24 hours a day/7 days a week.
3. Contact your state's insurance division:
   • Oregon Division of Financial Regulation
     • Call: (503) 378-4140 or the toll free message line at (888) 877-4894
     • Write: Division of Financial Regulation, Consumer Advocacy Unit, PO Box 14480, Salem, OR 97309-0405
     • Email: cp.ins@oregon.gov
     • File a complaint here
   • Louisiana Division of Insurance
     • Call: (225) 342-5900 or toll free (800) 259-5300 (ask for Consumer Services department)
     • Write: Louisiana Department of Insurance, Office of Consumer Services, PO Box 94214, Baton Rouge, LA 70804
     • File a complaint here
   • Nevada Division of Insurance
     • Carson City Office
       • Call: (775) 687-0700
       • Fax: (775) 687-0787
       • Write: Nevada Division of Insurance, Carson City Office, 1818 East College Pkwy., Suite 103, Carson City, NV 89706
     • Las Vegas Office
       • Call: (702) 486-4009
       • Fax: (702) 486-4007
       • Write: Nevada Division of Insurance, Las Vegas Office, 3300 W. Sahara Ave., Suite 275, Las Vegas, NV 89102
     • File a complaint here.
4. Tennessee Department of Commerce and Insurance
   • Call: (615) 741-2218 or toll-free (800) 342-4029
   • Write: TN Dept of Commerce and Insurance, Consumer Insurance Services, 500 James Robertson Pkwy., 10^th Floor, Nashville, TN 97243-0574
   • Email: Ask.TDCI@TN.Gov
   • File a complaint here.

Last updated Nov 13, 2023