Laura Zwolinski: Hello and welcome! This is the third of four special needs plans model of care training sessions for contract year 2027. Laura Zwolinski: Today, we will cover the elements under MOC3, which focuses on various aspects of the provider network. Laura Zwolinski: We look forward to sharing the Model of Care 3 requirements with you. Laura Zwolinski: As well as reviewing the changes made to elements and factors for contract year 2027. Laura Zwolinski: Again, my name is Laura Zwalinski, I am the Task Lead for the SNP Model of Care Review Activities, and with me today are my colleagues Sri Patel and Madeline Vankott. Laura Zwolinski: Next slide, please. Laura Zwolinski: Today's training session will cover some important housekeeping items. We did review these during previous sessions, but are also planning to include them here for reference and context. Laura Zwolinski: A detailed review of the three provider network elements included in MOC3 and their component factors. Laura Zwolinski: And then we'll wrap up with training information and encourage plans to complete the post-training survey. Laura Zwolinski: Next slide. Laura Zwolinski: We're going to start off by reviewing some housekeeping items. We understand that we reviewed these items during previous training sessions, but believe that this is helpful contextual information for plans or attendees who do not watch the trainings in order. Please feel free to fast-forward through this information if you have already listened to it. Laura Zwolinski: In terms of the training format for contract year 2027, Laura Zwolinski: We pre-recorded four separate training sessions. Each one is specific to one of the four MOC standards. Laura Zwolinski: All four of these recordings are available on NCQA's SNP approval website. Laura Zwolinski: We strongly encourage you to watch all four of the trainings. Laura Zwolinski: NCQA and CMS will continue to hold two pre-submission technical assistance, or TA, calls, to create a forum in which plans can pose live questions. Laura Zwolinski: The first of these sessions will take place from 2 to 4 p.m. Eastern Standard Time. Laura Zwolinski: on March 19th, 2026. And the second will take place from 2 to 4 p.m. Eastern Standard Time on April 16th. Laura Zwolinski: These TA calls will be recorded and made available to plans via the SNP approval website. Laura Zwolinski: As questions arise for you during today's session on MOC3, please document your questions so that they are ready for you to ask during the live TA calls. Laura Zwolinski: And lastly, we'd like to collect planned feedback on our training sessions so that we can continue to improve them. Laura Zwolinski: At the end of the slide deck for this training session, there will be a link that directs you to an online evaluation survey. Laura Zwolinski: We'd like to encourage plans to share your feedback and questions with us. Laura Zwolinski: Next slide. Laura Zwolinski: We want to draw your attention to this slide to emphasize some of the high-level changes made for contract year 2027. Laura Zwolinski: First and foremost, we want to underscore that there have been changes made to element and factor requirements. Laura Zwolinski: These changes reflect the revised MOC matrix for contract year 2027, which CMS released in January 2026. Laura Zwolinski: The contract year 2027 SNP Model of Care Scoring Guidelines were updated to align with this revised Model of Care matrix and include substantial changes and revisions. Laura Zwolinski: To make sure that you understand the revisions and the corresponding changes that you need to address in your model of care documentation. Laura Zwolinski: We strongly encourage you to thoroughly review this year's Model of Care Matrix and scoring guidelines. Laura Zwolinski: As well as to listen carefully to all four of the training recordings. We also encourage you to attend the TA calls being held in March and April. Laura Zwolinski: Lastly, given that there have been substantial shifts in the requirements and ordering of factors, please make sure that the model of care that you submit for contract year 2027 Laura Zwolinski: Reflects the element and factor order included in the contract year 2027 scoring guidelines. Laura Zwolinski: This supports a more efficient review process and ensures that your document aligns with the most current guidance. Laura Zwolinski: We thank you in advance for your continued efforts to support and improve the model of care review process. Laura Zwolinski: Next slide. Laura Zwolinski: Please note that throughout the slide deck, new requirements for contract year 2027 are indicated by a red star bullet point. Laura Zwolinski: Items that were clarified for Contract Year 2027 are denoted by an exclamation point bullet. We will emphasize these items throughout today's training session. Laura Zwolinski: In addition, we'd like to note that we have included regulations within the explanations in the contract year 2027 scoring guidelines. Laura Zwolinski: When applicable, we will be sure to emphasize these regulations as we review specific elements and their related factors. Laura Zwolinski: Next slide. Laura Zwolinski: We'd like to note a few things about changes included in the contract year 2027 SNP Model of Care Scoring Guidelines. Laura Zwolinski: Substantive changes and clarifications made to the scoring guidelines are noted in the Summary of Changes section towards the beginning of the description of each element. Laura Zwolinski: The Summary of Changes section includes the significant changes or clarifications made for the three most recent versions of the scoring guidelines. For this year, this includes changes made for contract years 2027, 2026, and 2025. Laura Zwolinski: Any updates made for the current version of the guidelines have been specifically labeled as a contract year 2027 update. However, those changes made in contract years 2026 or 2025 that still stand are not labeled with a year. Laura Zwolinski: Again, please be sure to carefully review the contract year 2027 Model of Care Matrix. Laura Zwolinski: Scoring guidelines, the current regulations, and review the training slides and recordings carefully so that you understand the updates, additions, and reordering of responses that you need to make in your model of care to align with new or updated requirements. Laura Zwolinski: Next slide, please. Laura Zwolinski: At this point, we want to remind plans that the contract year 2027 SNP Model of Care Scoring Guidelines are currently posted to NCQA's SNP approval website. Laura Zwolinski: The Model of Care matrix and all training recordings and associated slide decks are also posted here. Laura Zwolinski: In addition, this is where you can access login information and details for the upcoming TA calls and where the recordings from those calls will be posted. Laura Zwolinski: Next slide. Laura Zwolinski: This slide provides an overview of the contract year 2027 SNP Model of Care Approval Timeline. Laura Zwolinski: Please note that the timeline has shifted compared to prior years. Laura Zwolinski: At this point, we've posted the model of care matrix and scoring guidelines, as well as recorded and posted the model of care trainings for MOC Standards 1 through 4. Laura Zwolinski: As previously mentioned. Laura Zwolinski: NCQA and CMS will host two pre-submission technical assistance calls. The first will be held on Thursday, March 19th, 2026, and the second will be held on Thursday, April 16th. Laura Zwolinski: Contract year 2027 SNP Model of Care submissions are due in HPMS on Friday, May 29th, 2026, no later than 8 p.m. Eastern Standard Time. Laura Zwolinski: NCQA will download and review the submissions, and subsequently enter scores into HPMS by the end of July. Laura Zwolinski: This submission timeline change aligns with the CMS model of care submission process, with the Medicare Advantage statutory bid submission deadline, and state Medicaid agency contracting processes. Laura Zwolinski: Beginning this year and moving forward, the Model of Care submission deadline will move to the Friday before the first Monday in June, which is the day final bids are due to CMS. Laura Zwolinski: In 2026, final bids are due to CMS on Monday, June 1st. Laura Zwolinski: NCQA will upload scores to HPMS by the end of July. Laura Zwolinski: Then, on Monday, August 3rd, CMS will distribute Notice of Intent to Deny Letters, or NOIDs. Laura Zwolinski: Noids are sent to plans that score less than 50% on any one or more elements, or that score less than 70% overall. Laura Zwolinski: These SNPs are required to address deficiencies during a designated period called the cure. Laura Zwolinski: A TA call with instructions for how to cure documentation will be held on Tuesday, August 4th, and all CURE submissions are due in HPMS by 8pm Eastern Standard Time on Thursday, August 13th. Laura Zwolinski: Following the cure review period, CMS will issue approvals and denials on September 1st. Laura Zwolinski: Next slide. Laura Zwolinski: This slide includes information related to technical assistance. You can access training recordings as well as training slides and other resources on the NCQA SNP Approval website. Laura Zwolinski: We've included the direct links to the contract year 2027 matrix and scoring guidelines on this slide. Laura Zwolinski: Before submitting any inquiries, we do recommend that you first review these training materials. Laura Zwolinski: For inquiries related to model of care requirements or regulation questions, please contact CMS at the address included in the middle column of this slide, and enter SNP MOC Inquiry in the subject line. Laura Zwolinski: Please submit SNP application inquiries via the CMS SNP mailbox. Laura Zwolinski: Type the address included in the right column of the slide, and then select the SNP mailbox. Once you do this, enter SNP application inquiry in the subject line. Laura Zwolinski: Next slide. Laura Zwolinski: And that concludes the housekeeping and general updates section of today's training. So with that, we're now going to shift gears and begin our review of MOC3, which covers the provider network. Laura Zwolinski: Including specialized expertise, the use of clinical practice guidelines and care transition protocols, in addition to model of care training for providers. Laura Zwolinski: Next slide. Laura Zwolinski: We'll start off with MOC3 Element A, which focuses on the specialized expertise of providers, clinicians, and facilities. Laura Zwolinski: Next slide. Laura Zwolinski: For this element, the regulations require SNPs to use an ICT that includes a team of providers with demonstrated expertise and training, and as applicable, training in a defined role appropriate to their licensure in treating individuals noted in your target population. Laura Zwolinski: This means that providers must be equipped with the necessary skills and clinical expertise to deliver and manage care for your population. Laura Zwolinski: Please recall that in MOC1, we mentioned that all other elements build upon the population the SNP intends to serve. Laura Zwolinski: Please keep the target population in mind as you craft your responses to this element to ensure that your providers and facilities are selected based upon the needs of the population. Laura Zwolinski: Next slide. Laura Zwolinski: The intent of this element is to demonstrate how the network is designed to address the needs of the SNP's target population. Laura Zwolinski: The SNP is responsible for maintaining a network that includes relevant facilities and practitioners necessary to address the unique or specialized healthcare needs of the target population. Laura Zwolinski: The focus is on plan-level information related to the provider network, which must include a description of the providers and facilities that address your target population. Laura Zwolinski: SNP should explain the correlation between these specific providers and the needs of your target population. Laura Zwolinski: This element also touches on how plans provide oversight of providers and facilities, and make sure they have the appropriate licensure and verification to meet enrollees' needs, in addition to some other items that we'll touch upon on factor-specific slides. Laura Zwolinski: For contract year 2027, some factors in MOC3 Element A were shifted, so please ensure that model of care responses are presented in the order specified in the scoring guidelines. Laura Zwolinski: Next slide. Laura Zwolinski: We're now going to do a review of the factor-specific requirements for this element. Laura Zwolinski: Factor 1 requires SNPs to describe the provider network's specialized expertise that collectively addresses the needs of the SNPs target population. Laura Zwolinski: These may include, but are not limited, to PCPs and internists. Laura Zwolinski: Specialists, such as endocrinologists, cardiologists, oncologists, and nephrologists. Laura Zwolinski: Mental health providers, and others as applicable. Laura Zwolinski: Plans should draw a correlation between the needs of the target SNP population and the provider selected. Laura Zwolinski: As part of this response, the plan must specify and describe the facilities included in the network that provide care for its enrollees. Laura Zwolinski: Please don't forget to include facilities, as this is information that some plans have omitted in the past. Laura Zwolinski: For Factor 2, the plan must describe how it provides each SNP enrollee with an ICT comprised of providers with demonstrated experience and training applicable to treating individuals in and meeting the needs of the target population. Laura Zwolinski: Plans should draw a correlation between the target population and the applicable clinical skills of your provider network necessary to care for your target population. Laura Zwolinski: As part of this response, the plan must also describe how it oversees its provider network and ensures its providers and network facilities have and maintain active licenses and are competent to provide specialized healthcare services to SNP enrollees. Laura Zwolinski: The model of care must describe credentialing and verification tasks related to the specific population being served. Laura Zwolinski: Next slide, please. Laura Zwolinski: For Factor 3, SNPs must describe how providers in their network collaborate with members of the ICT and SNP enrollees Laura Zwolinski: contribute to the ICP, and ensure that specialized services are delivered to the SNP enrollee in a timely and effective way. Laura Zwolinski: This includes a discussion of how providers communicate an enrollee's care needs to the ICT and other stakeholders. For example, how does communication occur between team members? Laura Zwolinski: Of note, and new for contract year 2027, we specified that the plan must also specifically address how providers collaborate with SNP enrollees. So please make sure you speak to provider collaboration with SNP enrollees specifically. Laura Zwolinski: Please also indicate how reports about services received by the enrollees are shared with the IC team. Laura Zwolinski: And let's not forget about how relevant information and updates are incorporated into the ICP. Laura Zwolinski: How and when is this information included in the ICP, and who is responsible? Laura Zwolinski: Given that the order of the two factors on this slide were switched this year, please note that plans may have included this information under Factor 4 in previous years. Laura Zwolinski: For Factor 4, plans must describe how they document, update, and maintain current information on providers. Laura Zwolinski: This includes updates to directories, websites, and other applicable areas. Laura Zwolinski: As clarified in previous years, this description must address both the process used to ensure an accurate provider network, directory, and the frequency at which updates are made. Please do not forget to specify the frequency, as this is an area that plans may forget to address. Laura Zwolinski: Please note that plans may have included this information under Factor III in prior years. Laura Zwolinski: Next slide, please. Laura Zwolinski: This slide presents a table of the summary of changes made for MOC 3 Element A for contract year 2027. Laura Zwolinski: Please note that the order of factors for 3 and 4 were swapped since last year. Laura Zwolinski: Given this, please make sure that you include your response under the correct factor, and present factors in the order specified in the scoring guidelines. Laura Zwolinski: For Factor 3, we specified that the plan must also address how providers collaborate with SNP enrollees, in addition to the ICT and contribute to the ICP. Laura Zwolinski: Finally, for Factor 4, we previously clarified that SNPs must provide the process and frequency for updating provider information. This requirement still applies for contract year 2027. Laura Zwolinski: Next slide. Laura Zwolinski: To recap MOC 3 Element A, please make sure to, for Factor 1, describe any contracted providers who serve your enrollees, and again, this includes facilities. Laura Zwolinski: Also, for Factor 1, be sure to correlate the needs of the target population to the network described. Laura Zwolinski: For Factor 2, include the process for ensuring providers and facilities have the proper credentials. Laura Zwolinski: For Factor 3, make sure that you specifically address how providers collaborate with enrollees specifically, in addition to the ICT more generally. Laura Zwolinski: And for Factor 4, detail the process for how updates to the provider directory occur, making sure to indicate how often updates are made. Laura Zwolinski: Please don't forget to update the order in which you present information for this element so that it aligns with this year's scoring guidelines. Laura Zwolinski: And that concludes our review of MOC3, Element A. So with that, I will pass things over to Sri now to present the next element. Laura Zwolinski: Next slide, please. Shree Patel: Thank you, Laura. We are now going to turn our attention to MOC3, Element B, which pertains to clinical practice guidelines and care transition protocols. Next slide, please. Shree Patel: The regulations for this element referenced on this slide require that all SNPs use evidence-based practices and nationally recognized clinical protocols. Next slide. Shree Patel: The intent of MOC3 Element B is to ensure appropriate and evidence-based care and services are provided to all SNP enrollees. Shree Patel: For CY2027, please be aware that the number of factors in MOC 3, Element B, were reduced from 4 to 3, and make sure that your MOC responses are presented in the order specified in the scoring guidelines. Next slide, please. Shree Patel: For Factor 1, please note that there was an addition for CY2027 within Factor 1. Shree Patel: Plans will now be required to explain the process they implement to ensure that network providers utilize appropriate clinical practice guidelines. Your description must demonstrate the use of clinical practice guidelines and care transition protocols. Shree Patel: As a note, neither CMS nor NCQA is prescriptive in requiring the use of specific guidelines or protocols. It is the responsibility of the SNP to use clinical practice guidelines and care transition protocols based on proven medical techniques or adapted from available protocols. Shree Patel: We'd also like to emphasize that it is helpful to include a descriptive list of clinical practice guidelines and care transition protocols specific to the SNP population in your response to this factor. Shree Patel: Please be sure to detail the process implemented to oversee the use of these clinical practice guidelines by network providers, as well as the process used to track the appropriateness of their use. Shree Patel: This may include, but is not limited to, the use of electronic databases, web technology, or manual medical record review. Shree Patel: SNPs must identify who performs these oversight and tracking tasks. Shree Patel: Next slide, please. Shree Patel: Moving on to the remaining factors for this element. For Factor 2, plans must identify and detail any challenges they face in overseeing and caring for patients with complex healthcare issues. Shree Patel: This includes the identification of circumstances in which clinical practice guidelines may require modifications to fit the unique needs of the SNP enrollee. Shree Patel: Plans must address how these guideline modifications are incorporated into the enrollee's Individualized Care Plan, or ICP, as well as describe how this information is then communicated to and acted upon the ICT. Shree Patel: Please be sure to address the who, what, where, and how of this process in your response to this factor. Shree Patel: As a reminder, please do not forget to detail the interaction between the decision-making process to modify guidelines and the subsequent actions taken related to the ICP and the ICT. Shree Patel: These are two items that plans often forget to address, so please be mindful to include this information. Shree Patel: Lastly, SNPs must specify the persons or group or committee responsible for making decisions to modify guidelines to address enrollee needs. Shree Patel: Please note that for contract year 2027, former Factors 2 and 3 were combined. Therefore, some of this information was under Factor 3 in previous years. Shree Patel: Finally, for Factor 3, plans are required to describe how the SNP oversees care transition protocol implementation. New for this year, plans must detail how care transition protocols are used both internally and by contracted providers to maintain continuity of care. Shree Patel: Next slide, please. Shree Patel: This slide presents a table of summary of changes made for the MOC 3 Element B for contract year 2027. We reduced the total count of factors from 4 to 3 as we moved prior Factor 3 into existing Factor 2. Shree Patel: As a result, prior Factor 4 was shifted to become the new Factor 3. Shree Patel: In addition, Factor 1 requires a description of the methods used to monitor, track, and verify compliance with clinical practice guidelines. Shree Patel: For Factor 2, we specified that plans need to describe how they oversee enrollees who require modified guidelines. Shree Patel: For New Factor 3, plans must now explain how care transitions are used internally by contracted providers to support continuity of care. Shree Patel: Next slide. Shree Patel: Before we move on to the next element, I want to recap a few key reminders for MOC 3 Element B to be aware of as you prepare documentation for Contract Year 2027. Shree Patel: In terms of dues, for Factor 1, please be sure to describe the methods used to monitor, track, and verify compliance with clinical practice guidelines and nationally recognized protocols. For Factor 2, please detail oversight of vulnerable enrollees that need modified guidelines. Shree Patel: Factor 3. Detail how care transition protocols are used both internally and by contracted staff providers to maintain continuity of care. Shree Patel: In terms of don'ts for this element, for Factor 2, don't forget to identify who can modify the use of guidelines or address how modifications are communicated to the ICT and how subsequent actions are taken. Shree Patel: Don't forget to ensure responses are included with the appropriate factor and presented in the order specified in this year's scoring guidelines. Shree Patel: That concludes our review of MOC3, Element B, so I'll go ahead and hand things over to Laura to review the next element. Next slide. Laura Zwolinski: Thank you, Sri. Laura Zwolinski: MOC 3 Element C focuses on MOC training for the plan's provider network staff. Laura Zwolinski: Next slide. Laura Zwolinski: CMS regulations require that SNPs train appropriate staff, which include employed, contracted, or non-contracted staff, on their model of care to coordinate and deliver services and benefits to enrollees. Laura Zwolinski: The term provider encompasses network providers and out-of-network providers staff seen by enrollees on a routine basis. It is important to note that provider staff may include care coordination, administrative, or other clinical or support staff. Laura Zwolinski: In addition, the plan's model of care must describe oversight of provider network training. Next slide. Laura Zwolinski: The intent of MOC3 Element C is to describe the training process for the key in-network and out-of-network providers and provider staff who care for your SNP members. Laura Zwolinski: I'd like to note that you'll hear me reference both in-network and out-of-network providers and their staff a number of times. This is because we often see SNPs not speaking to training for out-of-network providers in their responses to this element, so you want to make sure out-of-network providers are not omitted. Laura Zwolinski: As part of this element, plans must also address how they track and maintain evidence of training completion, the challenges encountered pertaining to training completion. Laura Zwolinski: And the strategies the plan uses to facilitate training completion. Laura Zwolinski: Next slide. Laura Zwolinski: So let's review each of the factors that comprise this element. Laura Zwolinski: For Factor 1, SNPs must describe their process for conducting model-of-care provider training for in-network providers and provider staff. Laura Zwolinski: as well as out-of-network providers and provider staff who are seen by enrollees on a routine basis. Again, provider staff may include care coordination staff, administrative staff, or other clinical or support staff. Laura Zwolinski: We want to emphasize that training should be offered to both network provider staff and any out-of-network provider staff seen by enrollees on a routine basis, and plans should speak to how they ensure inclusion of these parties in training activities. Laura Zwolinski: Please note that the intent is for SNPs to focus training activities on key or appropriate providers and their staff who are integral to a member's care coordination and care transitions, rather than on all providers who are in-network or are seen routinely by enrollees out of network. Laura Zwolinski: CMS recognizes that offering training to an out-of-network provider based on a one-time encounter with a member may create an administrative burden. Laura Zwolinski: As such, plans may determine that some providers do not need to take the model of care training based on their roles in the provider's network or on the types of services provided. Laura Zwolinski: Based on this guidance, plans should determine the out-of-network providers that members see frequently, deem them appropriate as applicable, and include them in model-of-care provider training. Laura Zwolinski: SNPs must describe the process for how the organization implements provider training and demonstrates evidence that it makes model-of-care training available to all appropriate in-network and out-of-network providers. Laura Zwolinski: Plans must also specify the method used to offer trainings for in-network and out-of-network model of care training. Laura Zwolinski: For example, are trainings conducted in person? Do providers complete training virtually through web-based instruction? Etc? Laura Zwolinski: For this factor, please note that renewal plans must provide examples of the materials they use for training. For example, a slide deck or printed materials. Laura Zwolinski: Initial plan should include a detailed description of training content, beyond general topics or a table of contents, or provide actual training materials, if available. Laura Zwolinski: Next slide, please. Laura Zwolinski: For Factor 2, the SNP must describe how it tracks, verifies, and maintains evidence that provider training on the model of care has been completed. Laura Zwolinski: The plan is expected to monitor and track training completion for both network and out-of-network providers and their staff. Laura Zwolinski: Appropriate evidence of training completion may include copies of dated attendee lists. Laura Zwolinski: Web-based training confirmation, electronic training records, or attestations by providers and provider staff. Laura Zwolinski: As part of this response, please indicate who completes these activities. Laura Zwolinski: For Factor 3, SNPs need to explain the challenges they face in the completion of required model of care provider training for in- and out-of-network providers. Laura Zwolinski: For example, the SNP may have a geographically distant network, or a large number of out-of-network providers who care for members, and outreach to them requires more coordination compared to those providers who are in-network and more easily reachable. Laura Zwolinski: Please keep in mind that plans often omit information on the challenges to completing provider training, so please make sure to address this in your response to this factor. Laura Zwolinski: Factor 4 requires that SNPs describe the specific strategies they will employ, such as the use of incentives or other practices, to encourage completion of model of care provider training by providers and provider staff. Laura Zwolinski: Please note that this is a shift in focus over last year, when the focus was on actions taken when training was incomplete. This year focuses on proactive strategies used to support training completion. Laura Zwolinski: As part of this response, the SNP must describe what methods will be used to encourage providers and or their staff to complete the required training. Laura Zwolinski: Next slide. Laura Zwolinski: We want to emphasize a point that is often missed in relation to Factor 1 for model of care provider training with this Q&A slide. Laura Zwolinski: The question is, our model of care training is under development. Laura Zwolinski: If the staff training and provider training content is similar or identical, are we expected to duplicate this description under both MOC2A for staff training and MOC3C for provider training? Laura Zwolinski: And the answer is that, while we expect some similarities between the general staff model of care training and the provider model of care training content, the provider training should include specific information for practitioners or clinicians. Laura Zwolinski: That is, the provider model of care training materials should be customized for the provider network in some capacity. Laura Zwolinski: For example, by including training content on care coordination, the ICP and ICT, and care transitions. Laura Zwolinski: To further clarify, it is permissible for the training materials provided for MOC 2A and MOC3C to be identical. However, the training materials must include information tailored to providers in that case. Laura Zwolinski: Next slide, please. Laura Zwolinski: In terms of changes for MOC3 Element C this year. Laura Zwolinski: Please note that we previously clarified that provider staff may include care coordination staff, administrative staff, or other clinical or support staff. Laura Zwolinski: New this year, we clarified that for Factor 4, plans must indicate the strategies they will implement to facilitate the completion of model of care provider training. Laura Zwolinski: Next slide. Laura Zwolinski: To recap some takeaways for preparing your documentation for MOC 3 Element C, Laura Zwolinski: Please make sure the model of care addresses training for both in-network and out-of-network providers seen routinely by enrollees, which include but are not limited to care coordination, admin, or other clinical or support staff. Laura Zwolinski: For Factor 3, make sure to mention at least one challenge faced by the plan with respect to training completion by both in- and out-of-network providers and provider staff. Laura Zwolinski: On the don't side, please do not limit the content of the training materials to a high-level overview, like a table of contents or a general list of content topics. Training materials for renewal models of care and training plan content for initial models of care must be detailed. Laura Zwolinski: Don't provide the same training materials to satisfy MOC2A and this element unless the materials include specific information for providers and provider staff. Laura Zwolinski: And that concludes the review of the last element in MOC3, so I will hand it over to Sri now for the next piece. Next slide, please. Shree Patel: We will now review some training reminders. Next slide. Shree Patel: To review what was shared at the beginning of the presentation, this slide provides information on the training and education sessions scheduled for plans for contract year 2027. Shree Patel: Training recordings for all four recorded training sessions are now posted to the SNP approval website at snipmoc.ncu.org under the resources section. In addition, the training slides are also posted to this site. Shree Patel: NCQA and CMS will hold two technical assistance calls to allow ample time for plans to ask questions in a live forum. The first of these sessions will take place Shree Patel: from 2 to 4 p.m. Eastern Standard Time on March 19th, 2026, and the second will take place from 2 to 4 p.m. Eastern Standard Time on April 16th, 2026. Shree Patel: The TA calls will be recorded and available to plans. Shree Patel: Finally, the CURE TA call is scheduled from 2 to 4 p.m. Eastern Standard Time on August 4th, 2026. Plans that score less than 50% on one or more elements, or those that score less than 70% overall, are required to CURE and should attend the session. Next slide, please. Shree Patel: We've included a short post-training survey to collect your comments and feedback regarding this training session. Please click on the link embedded in the slide deck posted to the SNP approval website to access this survey. Please note that this survey will request feedback for training for MOC3 specifically. Shree Patel: We will use any survey results received to continue to improve future training sessions, and we thank you kindly in advance for taking the time to complete the survey. We'll also plan to review any common questions we receive on particular elements or factors during the pre-submission TA calls. Shree Patel: Next slide, please. Shree Patel: Thank you for your time and attention during the MOC3 training on Provider Network. This concludes the training session.