
Get the free Cal MediConnect (CMC) Model of Care - Network Medical ...
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HEALTH NET CMC MOC
TRAINING COMPLETION
ATTESTATION
2018 Health Net Cal Disconnect Model of Care
I attest that all RPG (Participating Provider Group) staff and Network
providers who interact with and
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How to fill out cal mediconnect cmc model

How to fill out cal mediconnect cmc model
01
Gather all the necessary information required for filling out the Cal MediConnect (CMC) model.
02
Start by filling out the personal information section, including name, address, contact information, and date of birth.
03
Move on to the eligibility and enrollment section, providing details about current health coverage and eligibility for CMC.
04
Next, fill out the medical history section, including any existing medical conditions, medications, and doctors' information.
05
Provide information about the preferred healthcare providers and hospitals in the network section.
06
If applicable, include details regarding long-term care services or support needed.
07
Review the completed form, ensuring all information is accurate and up to date.
08
Sign and date the form to attest to the accuracy of the provided information.
09
Submit the filled out CMC model form to the appropriate authority or organization.
Who needs cal mediconnect cmc model?
01
Cal MediConnect (CMC) model is designed for individuals who are eligible for both Medicare and Medi-Cal (California's Medicaid program).
02
It is specifically intended for individuals who meet the eligibility criteria for both programs and desire integrated healthcare services.
03
CMC model helps these individuals manage their healthcare needs more effectively by streamlining the coordination between Medicare and Medi-Cal.
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What is cal mediconnect cmc model?
Cal MediConnect CMC model is a program that combines the benefits of Medicare and Medi-Cal to provide a more coordinated, integrated care experience for dual eligible beneficiaries.
Who is required to file cal mediconnect cmc model?
Health plans participating in the Cal MediConnect program are required to file the CMC model.
How to fill out cal mediconnect cmc model?
The CMC model can be filled out electronically through the designated portal provided by the program.
What is the purpose of cal mediconnect cmc model?
The purpose of the CMC model is to track and report data related to the care provided to dual eligible beneficiaries in the Cal MediConnect program.
What information must be reported on cal mediconnect cmc model?
The CMC model requires data related to the healthcare services, costs, and outcomes for dual eligible beneficiaries.
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