Compliance Attestation

2023 Practice Signatory Compliance Training Attestation

After all providers participating in the Queen's MSSP ACO contract have viewed the compliance training, the practice signatory should complete this form. Please submit 1 form per practice.
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I attest that all of the providers at my practice and I have received education and training related to Queen’s MSSP ACO compliance program and have agreed to comply with all of the Queen’s MSSP ACO Compliance Policies and Procedures.