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Care1st Health Plan ANNUAL SNP MODEL OF CARE TRAINING ACKNOWLEDGEMENT 2015 Medical Group’s)/Provider: (Please write in your Medical Group or Individual Provider Name on the above line) I acknowledge
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Start by accessing the care1st-moc-trainingacknowledgement form on the healthsmartmsocom website.
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Carefully read through the instructions and information provided on the form to understand the requirements for filling it out.
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Begin by entering your personal information accurately in the designated fields. This may include your full name, date of birth, contact information, and any other details requested.
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If applicable, provide the necessary details regarding your affiliation or employment with Care1st or any other relevant organization. This may involve entering your job title, employee ID, or other relevant identifiers.
05
Next, carefully review the training acknowledgement section of the form. This typically requires you to affirm that you have completed the required training and understand its contents. Tick the appropriate boxes or fill in the necessary fields accordingly.
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If there is a section where you need to provide additional comments or explanations, use concise and clear language to address any specific points or concerns.
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Who needs care1st-moc-trainingacknowledgement - healthsmartmsocom?

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Employees of Care1st or affiliated organizations who are required to undergo certain training programs or have completed relevant training.
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Individuals who have been informed that they need to fill out the care1st-moc-trainingacknowledgement form to acknowledge their training completion or participation.
03
Anyone who needs to provide official documentation of their training completion, particularly as required by Care1st or related entities.
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care1st-moc-trainingacknowledgement - healthsmartmsocom is a form that acknowledges completion of training related to the care1st program at HealthSmart MSO.
Healthcare providers participating in the care1st program through HealthSmart MSO are required to file the care1st-moc-trainingacknowledgement form.
The form can be filled out electronically or manually, providing details of the training completed and signed by the healthcare provider.
The purpose of the form is to ensure that healthcare providers have completed the necessary training to participate in the care1st program.
The form should include details of the training completed, the date of completion, and the signature of the healthcare provider.
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2015 SNP SNPMOCcare1st Care1st NPI ACKNOWLEDGEMENT Provider

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