Are you a new Keystone First VIP Choice (HMO-SNP) provider or do you need a quick refresher about how to work with our plan? Learn more about the Keystone First VIP Choice dual eligible special needs plan (D-SNP) by using our training modules on the topics below. You can download a PDF version of each module to print and review at your own pace, or watch one of our videos to view, listen to, and follow along with the training.
This overview covers all modules for a complete understanding of our plan.
Learn about filing claims for Keystone First VIP Choice.
- Claims training. (PDF)
CMS Five-Star Quality Rating System
Star Ratings measures assess quality health care and plan responsiveness.
Use this quick guide to learn more about D-SNP benefits.
- D-SNP Benefits training. (PDF)
Disability competency training
This module provides important tips and reminders for working with a diverse population.
Learn how members are eligible for Keystone First VIP Choice.
- Eligibility training. (PDF)
Medicare Advantage risk adjustment
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.
Model of Care
Take this required annual training to find out more about the Model of Care.
Prior authorization and organization determination
Learn about what requires prior authorization and how our prior authorization process works.
Get quick highlights about the various resources we offer our providers.
Includes Care for Older Adults, Controlling Blood Pressure, Adult BMI, and more.
- Quality metrics. (PDF)