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One Care Shared Learning for Plans and Providers

New account

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Username (lowercase only)

The password must have at least 6 characters

Password

Email address

Email (again)

First name

Last Name

City/town

State

Professional Information

Professional Information

Professional Information

Who is your employer?

NPI (National Provider Identification #)

Tax Identification Number (if NPI is left blank)

Please write out your primary job title (where you spend the most time):

Is your Organization part of any of the following One Care plans? (select yes or no)

Is your Organization part of any of the following One Care plans? (select yes or no)

Is your Organization part of any of the following One Care plans? (select yes or no)

Commonwealth Care Alliance?

Tufts Health Unify

United

List your professional affiliations: (check all that apply. If none apply, specify credential in “Other”)

List your professional affiliations: (check all that apply. If none apply, specify credential in “Other”)

List your professional affiliations: (check all that apply. If none apply, specify credential in “Other”)

Administrative - Management (CEO, Director, Manager, Supervisor)

Administrative - Operations (Member Services, Quality, Finance, Admin. Assistant)

Allied Health Professional (PT, OT, Speech, RT, Nutrition, Rehab Counselor)

Bachelor's degree (BA, BS)

Behavioral Health (Psychologist, LMHC, peer counselor, peer specialist)

Case Manager, Care Manager, Care Coordinator

CNA, Medical Assistant or HHA

Independent Living/Community Worker (LTS Coordinator, Skills Trainer, CHW )

JD

Master’s degree (MBA, MPH, MPP, MPA or MEd)

MD

NP

PA

Pharmacy (Pharmacist, CPhT)

RN or LPN

Social Work

Specialist (Podiatrist, Optometrist, Dentist, Chiropractor, other Specialist)

Other (please specify)

How would you describe your area of focus: (check as many as apply)

How would you describe your area of focus: (check as many as apply)

How would you describe your area of focus: (check as many as apply)

Primary Care (PCPs and primary care offices)

Care Coordination (at a One Care plan)

Other One Care plan staff (other than Care Coordination)

Behavioral Health (mental health providers or recovery organizations)

Long Term Services & Supports (ILCs, ASAPs or home and community-based service agencies)

MA State Agencies

Other State or Federal Medicaid Offices

Other

Additional Webinar Pre-Registration Questions

Additional Webinar Pre-Registration Questions

Additional Webinar Pre-Registration Questions

Will you be viewing this webinar with others?

Required