Responsibilities and standards news

2025 D-SNP MOC training is now available

Providers play an integral role in the care teams that support our dual-eligible special needs (D-SNP) members. That's why the Centers for Medicare and Medicaid Services (CMS) requires us to make sure providers who are contracted with us to see PriorityMedicare patients are trained on our Model of Care (MOC) every year.   

June 27, 2025

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Medicaid formulary changes coming Feb. 1, 2025

New Medicaid formulary changes coming Feb. 1, 2025

June 27, 2025

NCQA's 2025 HEDIS audit is underway

2025 HEDIS audit is happening now

June 27, 2025