PriorityMedicare D-SNP® (HMO) Model of Care training for providers
Providers play an integral role in the care team that supports our dual-eligible special needs members. The Centers for Medicare and Medicaid Services (CMS) requires all special needs plans, like PriorityMedicare D-SNP® (HMO), to provide initial and annual Model of Care (MOC) training to providers who routinely see D-SNP members. Training must be completed on an annual basis.
What is a Model of Care (MOC)?
A MOC is a quality improvement tool and integral component for ensuring that the unique needs of each beneficiary enrolled in a special needs plan (SNP) are identified and addressed. The MOC is reviewed and approved by CMS. It describes the processes and systems used by a SNP to coordinate care for its members. It must include:
- A description of the SNP population
- Elements of care coordination
- An overview of care providers
- Quality measurement and performance goals
Who needs Model of Care training?
CMS requires MOC training if you’re a provider who sees PriorityMedicare D-SNP members. PriorityMedicare D-SNP shares the same network as our other Medicare Advantage plans, so if you’re a Priority Health Medicare provider, you should complete this training.
How can I access Model of Care training?
Our D-SNP MOC training is available as an on-demand webinar and takes approximately 30 minutes to complete.
If you’re part of a practice or provider group that is part of an organization that completes our D-SNP training at the same time as other annual training requirements, you’ll complete the training when it’s provided to you by your organization. If you’re not sure which option applies to you, contact your provider performance specialist.