Model of Care Training View Fullscreen × MOC Training FormConfirmation of Completion I hereby attest that I have received the Gold Kidney Health Plan 2023 Model of Care Provider trainingPlease indicate the method in which you received the MOC training- Select -Reviewed enclosed printed MOC training materialsReceived training in person from a Gold Kidney Health Plan associate or training seminarCompleted the interactive on-line MOC training moduleProvider, Group or Facility NameTax IDProviders Name(s)Authorized Representative’s SignatureDate of CompletionSubmit
