
Get the free Model of Care Attestation Form - molinahealthcare.com
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2021 MODEL OF CARE TRAINING ATTESTATION MANDATORY REQUIREMENT As part of required CMS mandated annual training, Molina has developed the Model of Care program for dual eligible enrolled. The Model
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How to fill out model of care attestation

How to fill out model of care attestation
01
To fill out the model of care attestation, follow these steps:
02
Start by gathering all the necessary information and documents, such as your organization's name, address, and contact information.
03
Identify the specific model of care that your organization follows and outline its key components.
04
Provide details about how your organization ensures the delivery of care in adherence to the model, including any training or quality assurance processes in place.
05
Document any strategies or approaches used to engage patients and improve health outcomes within the model of care.
06
Include any supporting evidence or examples that demonstrate the effectiveness of your organization's model of care.
07
Review the completed attestation form for accuracy and completeness.
08
Submit the filled-out model of care attestation form as required, either electronically or through the designated submission process.
09
Keep a copy of the submitted attestation form for your records.
Who needs model of care attestation?
01
Model of care attestation is required by healthcare organizations or providers who need to demonstrate their adherence to a specific model of care. This can include hospitals, clinics, healthcare networks, or individual practitioners who follow established care models in their practice. The attestation is often necessary for regulatory compliance, accreditation, or contractual requirements.
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What is model of care attestation?
Model of care attestation is a document that outlines the care provided to patients by a healthcare organization.
Who is required to file model of care attestation?
Healthcare organizations and providers are required to file model of care attestation.
How to fill out model of care attestation?
Model of care attestation can be filled out online or submitted through the designated healthcare regulatory body.
What is the purpose of model of care attestation?
The purpose of model of care attestation is to ensure that healthcare organizations are providing quality care to their patients.
What information must be reported on model of care attestation?
Information such as patient outcomes, care processes, and quality improvement initiatives must be reported on model of care attestation.
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