Model of Care Provider Training

Absolute Total Care 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: 2019 Model of Care Training (PDF)

Provider Model of Care Training Confirmation

Provider Group *

County *

Provider TIN(s) *

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

TIN 2

TIN 3

TIN 4

TIN 5

Contact Information

Phone *

Email *

Form Completed By *

Title *

Date *

Training Confirmation*

The 2019 Provider Model of Care training has been completed by the Provider Group above.