Model of Care Training

CMS requires all Medicare organizations to provide annual Model of Care training to all providers that treat our SNP members regardless of network participating status. Once the training is complete, please submit the below attestation form.

Model of Care Training (PDF)

Provider Group *

Provider TIN(s) *

Please provide any additional TINs that should be represented on this form.

TIN 2

TIN 3

TIN 4

TIN 5

Phone *

Email *

Form Completed By *

Title *

Date *

Training Confirmation * The 2024 Provider Model of Care training has been completed by the Provider Group above.

Contact ORProviderCommunications@TrilliumCHP.com with any questions.