(i) the CMS does not take into account the benefits charged through the ACO participant`s TIN when performing the task at point E of this part for the repository or performance year. (a) each ACO participant must commit to the duration of the participation agreement and sign an ACO participation agreement in accordance with the requirements of this party; 4. The agreement must govern the rights and obligations of the ACO participant and the representation of the ACO, including, but not limited to the quality reporting requirements set out in Part F of this section, the notification requirements of recipients set out in section 425.312 and the impact of participation in the shared management program on the ability of the participant and his ACO providers to participate in other Medicare projects or demonstration programs that involve savings. (8) The agreement must have a minimum term of one year of service and present the possible consequences of an early termination of the ACO. 2. Any participant in the ACO who claims rights to services intended to determine the ACO population assigned under paragraph E of this part is exclusively reserved for an ACO of the shared management program. If a CAO participant participating in more than one ACO participant submits benefits for a reference or performance year (including the end of the 3-month exposure for such a repository or this year of service), which are used for the assignment in accordance with Part E of that part, then: (6) The agreement must require the ACO participant to update its registration information, including the addition and removal of ACO professionals and ACO suppliers/providers who are billed through the ACO participant`s TIN, and notify the ACO of these changes within 30 days of the change. (a) ACO`s participation agreements. For the 2017 performance year and subsequent performance years, the ACO participation agreement with each ACO participant must have an ACO participation agreement that meets the following criteria: (1) Except under point b) (2) of this section, ACO participants are not exclusively applicable to an ACO shared management program. (6) The agreement must require the ACO supplier/supplier, c) the submission of the agreements.
The ACO must be used for each ACO participant at the time of the first application, the renewal of the participation agreement and when added to its list of ACO participants in accordance with the agreement. 425.118 submit a participation agreement to the ACO. Agreements can be presented according to the form defined by the provisions of Directive 425.204 (c) (6) or by the form and form defined by the CMS. 2. The contract must be signed by the ACO supplier/supplier and by a person authorized to be committed by the ACO. (7) The agreement must allow the ACO to take corrective action against the ACO participant and must require the ACO participant to take corrective action against its ACO suppliers/suppliers, including the imposition of a corrective action plan, refusal to pay incentives, and termination of the ACO participation agreement to address non-compliance with insurance sharing program requirements and other issues identified as related to program integrity, including CMS. (9) The agreement must require the conclusion of a conclusion procedure after the end or expiry of the contract, which requires the ACO participant to provide all the data necessary to complete the annual assessment of the quality of ACO care and to address other relevant issues.