Mandatory Requirement: Centers for Medicare and Medicaid Services (CMS)

Molina Healthcare is required to offer an annual Cultural Competency (CC) training to our participating provider network that meets the Centers for Medicare and Medicaid Services (CMS) guidelines in rule 42 Code of Federal Regulations (CFR) 438.10 (h) (1) (vii) to ensure providers meet the unique and diverse needs of all members.

Providers may complete the Molina training to fulfill this requirement if they do not have their own curriculum available in accordance with CMS requirements. Find the Molina training at MolinaHealthcare.com/OhioProviders on the Culturally and Linguistically Appropriate Resources/Disability Resources page under the Health Resources tab.

Providers are required to complete training and submit the attestation by December 31 of each year. Please note that only one attestation per Tax Identification Number is required.

Complete this survey to attest you have completed a CC training that meets CMS guidelines.

Thank you for your immediate response and cooperation.

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* 1. I have received and reviewed the posted materials for the Cultural Competency training, or I have completed my own Cultural Competency training course in compliance with CMS guidelines.

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* 2. Clinic/Practice Name:

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* 3. Clinic/Practice Address:

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* 4. Group Tax Identification Number (TIN):

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* 5. Submitter Information:

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* 6. Date of completion

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