Compliance Program

Banner Health Plans (BHP) is committed to ethical and legal conduct. This includes meeting the obligations of a programs involving the delivery of health care services. BHP is a Medicare and Medicaid participant.

A key component of our commitment to meeting our obligations under these governmental programs and contractual relationships includes adopting standards that uphold these principles, which is the basis for this Compliance Program. The Compliance Program is described in several documents including the Code of Conduct, policies, and procedures, as well as the Fraud, Waste, and Abuse Plan.

All employees and the Governing Bodies as well as first tier, downstream and related entities, subcontractors, Providers, and agents (Business Partners) must make a personal commitment to adhere to the Code of Conduct. Please review our Compliance Program and Fraud, Waste and Abuse Plan (January 1 through December 31), which includes the BHP code of conduct.

Banner Health Plans is committed to compliance and meeting requirements of all applicable laws and regulations of CMS and AHCCCS. As part of our compliance program, please review the First Tier, Downstream and Related Entities (FDR) Guide to help ensure your compliance with CMS, AHCCCS, and BHP requirements.

Related Documents