Reminder: You must complete our 15-minute CMS-required D-SNP Model of Care training by Dec. 31 

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.

Our Model of Care is a quality improvement tool that ensures the unique needs of our D-SNP members are met and describes the processes and systems we use to coordinate their care.

Who needs to complete Model of Care training? 

  • All providers who are part of the Priority Health Medicare Advantage network need to complete training. (All providers aligned with this network must complete the MOC training, regardless of whether they participate in Medicaid.) This includes specialists, ancillary providers, or anyone part of an ICT (interdisciplinary care team) for a D-SNP member.
  • Out-of-network providers who see at least five D-SNP members
  • This includes specialists, ancillary providers and anyone part of an ICT (interdisciplinary care team) for a D-SNP member

This is a CMS requirement.

Training needs to be completed and attested to by December 31, 2024. Late submissions will not be accepted.

How to complete training

Option #1: Bulk attestations

You can group our D-SNP MOC training with existing, required training (like compliance training) so you can submit attestation for providers at the same time. If this option is selected, you’ll need to:

  1. Distribute training to your providers using this link.
  2. To attest to training, fill out the roster template with providers who’ve received training. If you choose to submit a provider roster, only the Priority Health MOC roster Excel sheet provided will be accepted. (Please do not submit any other forms of attachments.)
  3. Send attestation rosters to DSNPtraining@priorityhealth.com.  

When an attestation is submitted, one of two automated messages will be sent:  

  • A confirmation email stating the roster was successfully processed.
  • An email stating the roster wasn’t processed and the reason(s) why.

Option #2: Virtual training (only takes 15 minutes)

 Training is available as an on-demand webinar and only takes 15 minutes to complete. Provider registration for the on-demand webinar counts as attestation, which means no additional documentation is required.  

Certification of completion

Providers who take online training can download a certificate of completion by clicking the certification icon in the webinar console.

Be sure to submit the correct provider NPI

Ensure the correct provider NPI number is included when submitting the provider roster or registering for the online training. If the NPI is incorrect, the provider’s status will be marked "incomplete" in our system. To correct an "incomplete" status due to an incorrect NPI, resubmit the provider roster or re-register for the online training with the correct NPI.