Provider Training

Welcome to MHS Health Wisconsin. We thank you for being part of our network of participating physicians, hospitals and other healthcare professionals.

All MHS Health network providers are required to complete an annual Model of Care training. The Centers for Medicare and Medicaid Services requires annual training for Medicare Advantage providers. Click on the link below to review the Model of Care training information. Then, submit the form to verify the training was completed.

Provider Model of Care Training (PDF)

Provider Model of Care Training Confirmation

Provider Group *

Provider TIN(s) *

Please provide any additional TINs that should be represented on this form.

TIN 2

TIN 3

TIN 4

TIN 5

Phone *

Email *

Form Completed By *

Title *

Date *

Training Confirmation *

The Provider Model of Care training has been completed by the Provider Group above.