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