Instructions: Please watch the full video before filling out the form below. If you need additional reading time, you can pause and play the video at any time.
Instructions: After watching the video above, please sign the form attesting to have received the annually required Network Provider Anti-Fraud, Waste & Abuse Training and resources for the Medi-Cal/Medicaid program. * Please fill out all required fields
An Authorized Person can complete the training attestation on behalf of your practice for each provider
[[[["field28","contains","Other Organization"]],[["show_fields","field26,field51,field46,field52"]],"and"],[[["field44","equal_to","I am the only provider at my practice"]],[["hide_fields","field43"]],"and"]]
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Posted on July 5th, 2019 and last modified on June 12th, 2023.