Training Modules

This overview covers all modules for a complete understanding of our plan.

• Program Overview training. Opens a new window (PDF)

Learn about filing claims for Keystone First VIP Choice.

• Claims training. Opens a new window (PDF)

Star Ratings measures assess quality health care and plan responsiveness.

• Keystone First VIP Choice Reaching for 5 Stars. Opens a new window (PDF)

This module provides important tips and reminders for working with a diverse population.

• Disability Competency training for medical, behavioral, and pharmacy providers. Opens a new window (PDF)

Learn how members are eligible for Keystone First VIP Choice.

• Eligibility training. Opens a new window (PDF)

Risk adjustment is a method used by the Centers for Medicare & Medicaid Services (CMS) to account for the overall health and expected medical costs of each individual enrolled in a Medicare Advantage (MA) plan.

• Medicare Advantage risk adjustment. Opens a new window (PDF)

Take this required annual training to find out more about the Model of Care.

• Model of Care (MOC) training. Opens a new window (PDF)
• Model of Care (MOC) interactive training Opens a new window.
• Model of Care (MOC) Provider Training Online Survey Attestation Opens a new window.

Learn about what requires prior authorization and how our prior authorization process works.

• Prior Authorization/Organization Determination training. Opens a new window (PDF)

• Provider manual Opens a new window (PDF)

Get quick highlights about the various resources we offer our providers.

• Provider Resources training. Opens a new window (PDF)

Includes Care for Older Adults, Controlling Blood Pressure, Adult BMI, and more.

• Quality metrics. Opens a new window (PDF)