2022 Model of Care for Providers

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Group/Contract Name*

Group TIN

Group NPI

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Attestation*

By checking this box, you will be providing Provider Partners Health Plans an electronic attestation of completion. If you would like a hard copy of the MOC and Attestation, please print a copy for your records. Hard copy Attestations can be faxed directly to your Provider Relations Coordinator. Thank you for completing the Provider Partners Health Plans 2022 Model of Care training.

I have downloaded the PPHP Model of Care Training for Providers*