Special needs plan Model of Care training is available
The Centers for Medicare & Medicaid Services (CMS) requires all special needs plans (SNPs) to provide initial and annual Model of Care (MOC) training to health care professionals contracted to see SNP members and out-of-network providers who routinely see SNP members.
Our 10-minute SNP MOC provider training is available as a self-paced course on UHCprovider.com/training. Every year, the deadline for training completion is Dec. 31.
An MOC is a document, reviewed and approved by CMS, describing the structure, processes and systems used by a SNP to coordinate care for members with special needs. It must include these 4 elements:
SNP population description
Care coordination elements
Care provider overview
Quality measurement and performance goals
Care management processes vary across insurers and CMS doesn’t offer centralized SNP MOC training. This means you may be asked to complete multiple trainings. There’s more information about the types of SNPs in the UnitedHealthcare administrative guide, Chapter 5, at UHCprovider.com/guides.
CMS requires MOC training if you’re an individual contracted to see SNP members or an out-of-network licensed independent practitioner (LIP) who routinely treats and/or provides services to UnitedHealthcare SNP members. There’s one exception – if you only see UnitedHealthcare commercial members, you don’t have to complete the training.
If you have questions about the training, please contact the UnitedHealthcare SNP MOC training team: