MOC Training Materials

Click on the links below to review the Model of Care training and attestation. Please ensure to submit the signed attestation form to verify the training was completed. Signed attestations may be completed by either filling out the PDF and fax/email back to Provider Relations Department or fill out and submit online form below.

2023 Model of Care Presentation
2023 Model of Care Attestation

Attestation for group: Individual Provider training requires an attestation. For a group attestation the form should be completed by the authorized individual on behalf of the group and must inclusde an attendance log.

For questions, please contact our Provider Relations Department for assistance via email ProviderServicesDG@elpasohealth.com or call us at call 1-833-742-3125.

Medical Provider/Group Name*

Tax ID*

 
Phone* format:9151231234
Email*


Form Completed By*

Position Title*

Date*

Training Confirmation*
The Provider Model of Care training has been completed by the Provider Group above.
 

*These fields MUST be filled out to register.