Model of Care Provider Training

All Peach State Health Plan network providers are required to complete an annual Model of Care training. Click on the link below to review the Model of Care training presentation. Then, submit the form to verify the training was completed.

Medicare 2021 Model of Care Training (PDF)

Provider Model of Care Training Confirmation

Provider Group *

Provider TIN(s) *

Please provide any additional TINs that should be represented on this form.

TIN 2

TIN 3

TIN 4

TIN 5

Phone *

Email *

Form Completed By *

Title *

Date *

Training Confirmation *

The 2021 Provider Model of Care training has been completed by the Provider Group above.