State Sponsored Programs Department
2021 Medicaid VFCA Carve In RE: 29-I Health Facility Training
I, , hereby attest that as part of the Medicaid VFCA Carve-in (expected), all necessary staff have completed an EmblemHealth provider training that has been made available via live presentation and/or a recording on or after 4/14/2021.
By signing this document, I, , hereby certify that the above information is accurate and true.
By typing your name in the field below, this will serve as your digital signature attesting to the fact you participated in this training.