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What is a Model of Care

WEBA SNP Model of Care (MOC) is considered a vital quality improvement tool and integral component for ensuring that the unique needs of each member enrolled in a SNP are …

Actived: 5 days ago

URL: https://snpmoc.ncqa.org/what-is-model-of-care

AETNA BETTER HEALTH INC. (NJ) Dual-Eligible

WEBMOC 3: Provider Network. The SNP provider network is a network of health care providers who are contracted to provide health care services to SNP enrollees.

Category:  Health Go Health

CY2023 SNP Model of Care Training FAQs

WEBSNP Model of Care Training FAQs. of January 26, 2022. Introduction. In collaboration with the Centers for Medicare & Medicare Services (CMS), the National Committee for …

Category:  Health Go Health

Model of Care Elements

WEBIn the following tables, list the page number and section of the corresponding description in your Care Management Plan for each Model of Care (MOC) element. Once you have …

Category:  Health Go Health

AETNA BETTER HEALTH INC. (GA) Dual-Eligible

WEBScore: 3.2/4. The organization's MOC description of its most vulnerable members must: Define and identify the most vulnerable enrollees within the SNP population, detailing …

Category:  Health Go Health

Model of Care Scoring Guidelines for Contract Year …

WEBPoints earned are converted to a percentage score (e.g., 50 of 64 points = 78.13%). A SNP must meet the following two requirements to obtain approval to operate: Earn a score of …

Category:  Health Go Health

CY2025 SNP Model of Care Training FAQs

WEBIntroduction. In collaboration with the Centers for Medicare & Medicaid Services (CMS), the National Committee for Quality Assurance (NCQA) held pre-recorded training sessions …

Category:  Health Go Health

SNP Approval Model of Care Training for CY 2025

WEBPre-recorded trainings allow for earlier posting of CY 2025 content. The first (MOC 1 and 2) and second (MOC 3 and 4) training recordings are now available. CMS and NCQA will …

Category:  Health Go Health

About the Program

WEBAbout the Program. Medicare Special Needs Plans (SNPs) are a type of Medicare Advantage Plan (like an HMO or PPO). SNPs were created by Congress in the …

Category:  Health Go Health

Special Needs Plan Model of Care Approvals

WEBAbout the Program. What is a Model of Care? Resources for SNPs

Category:  Health Go Health

SNP Approval Model of Care Training

WEBModel of Care Trainings. November 30 (MOC 1 & 2) 2-4:00 pm ET December 2 (MOC 3 & 4) 2-4:00 pm ET. Submission Day. Cure Results Uploaded February 16 (8:00 pm ET) …

Category:  Health Go Health

Resources for SNPs

WEBFor SNP application inquiries, please submit questions via the SNP mailbox on the Division of Medicare Advantage Operations (DMAO) website. CMS SNP Mailbox. …

Category:  Health Go Health

Special Needs Plan Model of Care Approvals

WEBTechnical Assistance. Get help for inquiries about MOC requirements. Get Help. Special Needs Plan | Model of Care Approvals.

Category:  Health Go Health

Scoring Guidelines

WEBModel of Care Scores About the Program What is a Model of Care? Resources for SNPs

Category:  Health Go Health

SNP Approval Model of Care Training for CY 2025

WEBThe first (MOC 1 and 2) and second (MOC 3 and 4) training recordings are now available. CMS and NCQA will offer two Technical Assistance (TA) calls to allow plans the …

Category:  Health Go Health

Off-Cycle Model of Care (MOC) Submission Guidance

WEB• Target population changes that warrant modifications to care management approaches or changes in benefits (e.g., adding Diabetes to your Cardiovascular Disease and …

Category:  Health Go Health

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