ACO Notice to TINs. At least 30 days prior to submitting its Proposed Participant List and Proposed Preferred Provider List to CMS, the ACO shall furnish written notification to the executive of any TIN through which an individual or entity on the Proposed Participant List or Proposed Preferred Provider List bills Medicare. Such notification must: (a) Include a list identifying by name and NPI each individual or entity that will be identified on the ACO’s Proposed Participant List or Proposed Preferred Provider List as billing through the entity’s TIN; and (b) Inform the executive of the TIN that a Next Generation Participant’s participation in the ACO may preclude the entire TIN from participating in the MSSP, another Medicare ACO or other payment model tested or expanded under section 1115A of the Act, or any other Medicare initiative that involves shared savings.
Appears in 4 contracts
Samples: Next Generation Aco Model Participation Agreement, Next Generation Aco Model Participation Agreement, Next Generation Aco Model Participation Agreement
