First Tier, Downstream & Related Entities

We at ATRIO Health Plans would like to thank you for your partnership and helping us to provide exceptional service to our Medicare beneficiaries. The Centers for Medicare and Medicaid Services (CMS), in its regulatory guidance, refers to our contracted partners as First-Tier, Downstream, and Related entities, or FDRs.

ATRIO is required to effectively manage and oversee our FDRs that assist us in providing administrative and/or healthcare services for our Medicare beneficiaries. Examples of FDRs include field marketing organizations, agents, providers, pharmacies, pharmacy benefits managers, claim administration vendors, fulfillment vendors and other vendors who assist us with delivering benefits. ATRIO maintains the ultimate responsibility for fulfilling the terms and conditions of its contract with CMS, and for meeting the Medicare program requirements. Therefore, CMS may hold ATRIO accountable for the failure of its FDRs to comply with Medicare program requirements.

ATRIO Policies

• Access to Facilities and Records
• Centers for Medicare and Medicaid Relations
• Compliance Program and Policies Distribution
• Compliance Program Disciplinary Standards
• Conflict of Interest
• Incident Reporting, Tracking and Resolution
• Non Intimidation Non Retaliation
• OIG-GSA Screening
• Record Retention
• Access to Facilities and Records
• Compliance, Fraud Waste Abuse, and HIPAA Mandatory Training
• Regulatory Guidance Review and Distribution

Last updated Nov 13, 2023