April 01, 2022

Action required: 10-minute Model of Care training

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.

MOC training overview

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.

Training requirements

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.

Questions?

If you have questions about the training, please contact the UnitedHealthcare SNP MOC training team:

For more information, read our Frequently Asked Questions

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