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2023 MODEL OF CARE 
PROVIDER TRAINING AND ATTESTATION

The Centers for Medicare & Medicaid Services (CMS) requires all special needs plans (SNPs) to provide initial and annual Model of Care (MOC) training to network providers and their staff contracted to treat and/or provide services to Troy Medicare dual-eligible special needs plans (D-SNP) members. Out-of-network providers (and their staff) who routinely treat and/or provide services to Troy Medicare D-SNP members are also required to complete the MOC training. This training is required to be completed no later than July 15, 2023.

The SNP MOC is the plan for delivering coordinated care management to D-SNP members, designed to address the specific needs of the D-SNP population.

If a group training is provided to your medical group/practice, one Attestation Form may be submitted by an individual with the authority to attest on behalf of the group. An attendance roster of the group training must also be provided.

What Providers and Staff Need to Do:

  • Complete the training.
  • Complete and sign the Attestation Form and attendance list (if it is a group training, one Attestation Form should be completed by the individual with authority to sign on behalf of the group with an attendance list).
  • Return the Attestation Form using the “submit” button.


This Attestation will serve as evidence of completion for Troy Medicare’s Annual Model of Care provider training.

Click Here to Review the Training
Last Updated: 10.14.2023

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Troy Medicare is available to anyone who is eligible for Medicare Part A and Part B and resides in Alexander, Anson, Bladen, Buncombe, Burke, Caldwell, Catawba, Chatham, Columbus, Cumberland, Durham, Franklin, Granville, Harnett, Haywood, Henderson, Hoke, Iredell, Jackson, Lee, McDowell, Mitchell, Montgomery, Moore, Orange, Person, Polk, Richmond, Robeson, Sampson, Scotland, Swain, Transylvania, Vance, or Yancey counties in North Carolina.

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Plans are offered through Troy Medicare, a Medicare Advantage HMO and HMO D-SNP organization with a Medicare contract. Enrollment in these plans depends on the planʼs contract renewal with Medicare. Troy Medicare HMO D-SNP also has a contract with state Medicaid.

Benefits, formulary, provider, pharmacy network, premium and/or copayments/coinsurance may change on January 1 of each year. Member premiums, copays, coinsurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details. 

Troy does not discriminate or exclude people because of their race, color, national origin, ancestry, age, disability, ethnicity, sex, sexual orientation, gender, gender identity or expression, marital status, religion, or language.

The Formulary may change at any time. You will receive notice when necessary. 

You must generally use network pharmacies to use your prescription drug benefit.

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This information is not a complete description of benefits. Call 1-888-494-TROY (8769) (TTY 711) for more information.

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This document is available in alternative formats. If you need this document in an alternative format, call Member Service at 1-888-494-TROY (8769) (TTY:711).

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To report suspected incidents of non-compliance and/or fraud, waste or abuse, you can contact Troy Medicare directly or anonymously  in the following ways:

Reporting portal: troymedicare.ethicspoint.com
Toll-free Ethics Help Line: (844) 977-0475

Your assistance may help curtail the costs of healthcare to our members.

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Medicare beneficiaries may also enroll in Troy Medicare through the CMS Medicare Online Enrollment Center located at https://www.medicare.gov.

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ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call 1-888-494-TROY (8769) (TTY 711).

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Troy Medicare (HMO)’s and Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)'s pharmacy network includes limited lower-cost, preferred pharmacies in our service areas. You can go to all the pharmacies listed in our Pharmacy Directory, but your costs for some drugs may be less at pharmacies in this list that offer preferred cost sharing. We have marked these pharmacies with "PREFERRED" under the Cost Sharing column in our Pharmacy Directory to distinguish them from other pharmacies in our network that offer standard cost sharing. An updated Pharmacy Directory can be located on our website. You may also call Troy Medicare (HMO) or Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) Pharmacy Member Service at 1-866-423-8065 (TTY/TDD users should call 711) for updated information.

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