Special Needs Plan Model of Care Attestation

What is the Model of Care?

  • Per Centers for Medicare and Medicaid Services (CMS), as provided under section 1859(f)(7) of the Social Security Act, every SNP must have a Model of Care (MOC) approved by the National Committee for Quality Assurance (NCQA).
  • The MOC provides the basic framework under which the Special Needs Plan (SNP) will meet the needs of each of its enrollees.
  • The MOC is a vital quality improvement tool and essential component for ensuring that the unique needs of each enrollee are identified by the SNP and addressed through the plan’s care management practices.
  • The MOC provides the foundation for promoting SNP quality, care management, and care coordination processes.

Who is required to take the Model of Care Training?

  • CMS requires initial and annual MOC training for all Special Needs Plan employed and contracted staff that perform any job functions for the SNP population.
  • CMS requires initial and annual MOC training for all network and out-of-network providers who provide care to Special Need Plan beneficiaries on a routine basis.

Please review the Model of Care training and complete the attestation to acknowledge understanding of these requirements and care coordination responsibilities of those providing care to Plan members.

Model of Care Training

  1. Review the below Model of Care training
  2. Upon completion, please complete the Attestation Form to acknowledge your understanding.
{{ form.role.error }}
{{ form.providerNPI.notice }} {{ form.providerNPI.error }}

Are you also a facility staff member/facility contracted PCP?

{{ form.facilityStaffNPI.notice }} {{ form.facilityStaffNPI.error }}
{{ form.firstName.error }}
{{ form.lastName.error }}
{{ form.state.error }}
{{ form.city.error }}
{{ form.zipCode.error }}
This email will not be sold/shared. It will be used for Plan communications only {{ form.businessEmail.error }}

Please fix the following errors before submitting:

  • {{ error }}

I have reviewed the Model of Care training:

{{ form.reviewed.error }}
Confirmed! Thank you for completing the training. Your information has been submitted.