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20-161 2020 Mandatory Provider Training

Date: 02/12/20

This information applies to Physicians and Participating Physician Groups (PPGs).

Register now for important provider training sessions

Annual course training is required for current Cal MediConnect Plan (Medicare-Medicaid Plan) providers and those newly hired. Refer to the Course Schedule on page 2 for a list of courses, the dates they are offered and the links to register. You can also find details about the topics covered for each course.

Following the webinar, an email is sent to you with a link to:

  • Attest to completing the training.
  • Complete a survey about the session.
  • Listen to and view a recording of the training material.

Registration

There are two one-hour sessions scheduled for each topic and date. You must register for one of the sessions. By registering, you give identifying details to ensure you, and your provider group (if applicable), receive full credit for completing the training.

  • Register for a session even if you are unable to attend. You will be given information on how to access the training online and how to receive credit for completion.
  • Use the links in the table on page 2 to register and then add the courses to your calendar.
  • Submit questions during the webinar. The subject matter expert who facilitates the training will give instructions.  

Training attestation requirements

All attendees must fill out the training attestation. A link to the attestation will be sent once you have registered. Providers cannot waive required training. If you log in as a group, submit your own attestations separately to ensure each attendee receives credit.

Additional information

Send questions about the courses, registration or attestation to PartnersinPerformance@healthnet.com.

Providers are encouraged to access Health Net’s provider portal online at provider.healthnet.com for real-time information, including eligibility verification, claims status, prior authorization status, plan summaries, and more.

If you have questions regarding the information contained in this update, contact the Health Net Provider Services Center by email at provider_services@healthnet.com within 60 days, by telephone or through the Health Net provider website as listed in the right-hand column.

Course schedule

The schedule is not all-inclusive. Additional required webinars will be scheduled throughout the year.

1     Select a time to attend that works best for you.

  • Session 1: 9 a.m.–10 a.m.
  • Session 2: 12 p.m.–1 p.m.

2     Refer to the applicable table, based on provider type below.

PHYSICIAN TRAINING REQUIREMENTS

Course title1

Requirement type

Date2

Registration link

+Accessibility and Accommodations

Mandatory

February 26, 2020 

http://bit.ly/HN-AA-2020

+LTSS and MSSP

Mandatory

March 11, 2020

http://bit.ly/HN-MSSP-LTSS-2020

Dementia

Mandatory

April 15, 2020

http://bit.ly/HN-Dementia-2020

+Model of Care (MOC)

Mandatory

April 28, 2020

http://bit.ly/HN-MOC-2020 

+Special Needs and Cultural Competency

Mandatory

October 14, 2020

http://bit.ly/SNP-Competencies-2020

PARTICIPATING PHYSICIAN GROUP (PPG) TRAINING REQUIREMENTS

Course title1

Requirement type

Date2

Registration link

+Accessibility and Accommodations

Mandatory

 (Care management staff)

February 26, 2020 

http://bit.ly/HN-AA-2020

+LTSS and MSSP

Mandatory

 (Care management staff)

March 11, 2020

http://bit.ly/HN-MSSP-LTSS-2020

Dementia

Mandatory

 (Care management staff)

April 15, 2020

http://bit.ly/HN-Dementia-2020

+Model of Care (MOC)

Mandatory

 (Care management staff)

April 28, 2020

http://bit.ly/HN-MOC-2020

+Special Needs and Cultural Competency

Mandatory

 (Care management staff)

October 14, 2020

http://bit.ly/SNP-Competencies-2020

1 If you are a current member of an Interdisciplinary Care Team (ICT), you are required to complete all training sessions marked with plus sign (+). Completing these sessions is a regulatory requirement to maintain compliance.

2 Training dates are subject to change. Once you register for a course, you are automatically updated with any changes.

Review course topics

The following gives additional details about topics covered for each course.

  • Accessibility and Accommodations – A review of the current required or mandated statewide Physical Accessibility Review Survey (PARS). This survey is used to identify potential accessibility barriers to providers’ offices, clinics and other health care providers for seniors and people with disabilities.
  • Long-term services and supports (LTSS) and Multi-Purpose Senior Services Program (MSSP) training includes definitions, explanations and details about the following topics:
  • Addition of LTSS and social services to contractor operations
  • How to refer an enrollee to MSSP for assessment and eligibility determination
  • MSSP eligibility criteria
  • Assessment and reassessment processes, services and service authorization process
  • LTSS programs and coordination
  • Overview of the characteristics and needs of MSSP's target population
  • Dementia – This training session includes detailed information on understanding dementia, symptoms and progression of dementia, understanding and managing behaviors and communication problems caused by dementia, caregiver stress and its management, and community resources for enrollees and caregivers.
  • Model of Care (MOC) training is required for SNP and Cal MediConnect (CMC) participating providers, and all ICT members. Training completion is required within 90 days of contracting, hiring or becoming a delegated entity, and yearly thereafter (by December 31 of the year). The MOC training includes information on:
  • Additional CMC benefits
  • Goals of the MOC
  • Person-centered planning process
  • Care transitions
  • Health Risk Assessment (HRA)
  • Provider network
  • Case management
  • Individual care plans (ICP)
  • Quality improvement program
  • Coordination of Medicare and Medicaid benefits
  • ICT
  • Description of the SNP/CMC population
  • Special needs and cultural competency – This training takes you through many topics to assist you with interacting with members and supporting their individual care needs, including:
  • Core concepts of the Olmstead Decision
  • Health education
  • Person-centered planning process
  • Cultural competency
  • Health, safety and welfare education
  • Wellness principles
  • Cultural and cognitive competence
  • Independent living

 

  • Disability sensitivity
  • Linguistics


Last Updated: 02/26/2020