Provider Education
Participating providers have access to a wealth of educational resources.
Required Annual Education
Providers are required to review the Model of Care Provider Guide (MCPG) within 30 days of their initial orientation date as a newly contracted provider and by January 31 each subsequent year. Attestation is required and will be recorded by provider (practice/facility) name, tax identification number (TIN) and email address. Out-of-network providers must review the MCPG when they sign the requisite Single Case Agreement (SCA). The MCPG and Attestation must be executed by the provider and verified by Sentara Health Plans (SHP), prior to SHP signing and returning the agreement.
Provider Education Attestations
Encouraged Education and Training
Critical Incident Reporting Training
Learn about critical incidents, why you should report them, and more.
Cultural Competency: Think Cultural Health - U.S. Department of Health & Human Services
Complete the course that is most appropriate for your specialty area.
Fraud, Waste and Abuse
Learn more about fraud, waste and abuse, including its definition, examples, and prevention, as well as your responsibilities as a provider.
Jiva/Case Management and Utilization Portal
This tutorial will to guide you through accessing and utilizing the case management platform.
Expanded Medicaid Coverage for Adults
Some Virginia residents who previously exceeded Medicaid income limits, but did not earn enough to qualify for subsidies through the Exchange will now have access to quality, low-cost health insurance.
Optima Health Select and Direct Network Plans
Do you have questions about our Select and Direct Network plans? We have conveniently compiled some frequently asked questions for your information.
The Guide to Providing Effective Communication and Language Assistance Services
This communication guide will help you and your organization interact more effectively with culturally and linguistically diverse individuals.
Transportation
Do you need more information to help coordinate transportation services for your patients?
Trauma Informed Care Training
A one–time required training for Optima Family Care providers (Medallion 4.0). Trauma Informed Care (TIC) is an approach to engaging people with histories of trauma that recognizes the presence of trauma symptoms and acknowledges the role that trauma and adverse childhood experiences (ACEs) have played in their lives.
Behavioral Health Resources
Access helpful behavioral health resources.
Medicare HMO Plan Educational Video
Access more information about our Medicare HMO plan.
Medicare and Medicaid Fraud, Waste, and Abuse Prevention - CMS
This module explains Medicare and Medicaid fraud, waste, and abuse prevention. This training module was developed and approved by the Centers for Medicare & Medicaid Services (CMS), the federal agency that administers Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), and the Health Insurance Marketplace.
