Provider Training Attestation

Once the Alignment Health Plan Special Needs Plan Model of Care Provider Training has been reviewed for the current coverage year, please submit an attestation on behalf of the provider group.

You can submit your attestation via our online form or fax or email.

I hereby attest on behalf of the listed Provider(s) that we have reviewed and completed the Special Needs Plan (SNP) Model of Care (MOC) Training.

The listed Provider(s) and myself understand the Model of Care and our organization's role in improving health outcomes for our most vulnerable population.

It is understood this training is required by the Centers for Medicare and Medicaid Services (CMS) for all Medicare Advantage Providers that care for SNP members.
 

Send your attestation via online form

We highly encourage you to use our new form. As you fill out your information, required fields are marked with an asterisk (*).