Medica Administrative Manual  > Supplementary Contracting and Regulatory Requirements > Government Program Requirements > Special Needs Plans Model of Care

Special Needs Plans Model of Care

Special Needs Plans (SNPs) are a type of Medicare Advantage Plan that focus on certain vulnerable groups of Medicare beneficiaries. The Model of Care (MOC) is a document that is required by the Centers for Medicare and Medicaid Services (CMS) for health plans that offer a SNP. The MOC is a vital quality improvement tool and an integral component for ensuring members’ needs are identified by the SNP and addressed through the plan’s practices.

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Required Model of Care Training

In accordance with CMS guidance, providers contracted to serve Medica’s SNP members must complete annual MOC training.

Medica Special Needs Plans (SNPs):

• Medica DUAL Solution (HMO D-SNP) (MSHO)
• Medica AccessAbility Solution® Enhanced (HMO D-SNP) (Integrated SNBC)

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Training Details

• Access the SNP MOC Training via Medica Provider College
• Organizations are responsible for maintaining documentation of each provider’s completion of the training (e.g., dated training attendance list, dated electronic attestation, etc.) that can be provided to Medica upon request
• Communicate completion of training to your organization’s representative to complete one Model of Care Training Attestation on behalf of the organization
• Provider Model of Care Training Attestation can be found online either:
  • Go to www.Medica.com > Providers > Electronic Transactions > Provider Demographic update Online Tool (PDOT); or
  • Submit the form here.

   

  For more information about the SNP MOC training or attestation requirement, please email us.

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REV 8/2023