Model Care Attestation

As the provider, I attest that my practice has reviewed the SNP and MOC presentation.  

I understand: 

The goals of the program and the requirements of the MOC including: 

• Plan of care feedback and consensus 
• Clinical coordination for the member 
• Participation in ICT 
• Responsive and cooperative with the plan clinical representatives 
• Referring member to medically necessary services in accordance with plan benefits 
• Appropriate communication with the member’s family or legal representative 
• Timely submission of documentation
• How to obtain additional information or resources