For newly contracted providers seeking a more comprehensive orientation and training, please follow the link to Initial Orientation and Training for Network Provider 

For established contracted providers who have already completed the initial comprehensive orientation and training and looking for a more concise yet impactful and informative session, please follow the link to Annual Training for Network Providers (ATP)

Our comprehensive training session is designed for contracted ancillary providers and will cover a range of topics, including 2025 updates, claim filing instructions and best practices, credentialing, utilization management and prior authorization, Evicore, and other valuable resources. The training is tailored to the services provided by the following provider types:

To comply with CMS requirements, all contracted and non-contracted providers serving Dual Eligible Special Needs Plan (D-SNP) members must complete annual MOC training. This training ensures providers understand the specialized care and services offered to dual-eligible beneficiaries.

At least one representative per care team location must complete the training, submit the attestation, and distribute the materials with all DSNP care team members.

Training is available year-round via our online course or live webinars. Completion is only recognized once the attestation is submitted - either at the end of the online course or via the DSNP Attestation link following a webinar.

Part 1 of this course offers information to providers regarding the Medicaid and CHIP Member Complaint and Grievance process, and how providers can submit Complaint and Grievance requests to the Plan on behalf of their patients who are Plan members.

Part 2 of this course offers information to providers regarding the Medicaid and CHIP Member Utilization Management Authorization request process, and the need to provide supporting clinical documentation and orders required for a medical necessity review.