Additional Care Partner Arrangement Requirements for PGP Care Partners Sample Clauses

Additional Care Partner Arrangement Requirements for PGP Care Partners. If the Care Partner is a PGP Care Partner, the Hospital shall ensure the Care Partner Arrangement complies with the following additional criteria: (a) The arrangement prohibits the PGP Care Partner from distributing a Downstream Incentive Payment to an individual or entity other than a Downstream Care Partner with whom the PGP Care Partner has a Downstream Care Partner Arrangement. (b) The arrangement requires the PGP Care Partner to distribute all Downstream Incentive Payments in accordance with a Downstream Care Partner Arrangement that complies with all of the criteria set forth in Article VII. (c) The arrangement requires the PGP Care Partner to maintain records of the information specified in section 7.3(f) in accordance with section 11.4. (d) The arrangement requires the PGP Care Partner to terminate any Downstream Care Partner Arrangement pursuant to remedial action imposed by CMS or a State Party under section 15.1. (e) The arrangement prohibits or suspends the PGP Care Partner’s ability to distribute a Downstream Incentive Payment to a Downstream Care Partner pursuant to remedial action imposed by CMS or a State Party under section 15.1 and requires the Hospital to recalculate Incentive Payments to account for any Downstream Incentive Payments that were improperly distributed during such a prohibition or suspension. (f) The arrangement requires the PGP Care Partner to have a Downstream Care Partner Arrangement with each Downstream Care Partner that complies with Article VII and requires the Downstream Care Partner to comply with Article VIII, except that references to “Hospital” are replaced with “Downstream Care Partner.”
Sample 1
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Additional Care Partner Arrangement Requirements for PGP Care Partners. If the Care Partner is a PGP Care Partner, the Hospital shall ensure the Care Partner Arrangement complies with the following additional criteria: The arrangement prohibits the PGP Care Partner from distributing a Downstream Incentive Payment to an individual or entity other than a Downstream Care Partner with whom the PGP Care Partner has a Downstream Care Partner Arrangement. The arrangement requires the PGP Care Partner to distribute all Downstream Incentive Payments in accordance with a Downstream Care Partner Arrangement that complies with all of the criteria set forth in Article VII. The arrangement requires the PGP Care Partner to maintain records of the information specified in section 7.3(f) in accordance with section 11.4, except that references to “Hospital” are replaced with “PGP Care Partner.” The arrangement requires the PGP Care Partner to terminate any Downstream Care Partner Arrangement pursuant to remedial action imposed by CMS or a State Party under section 15.4. The arrangement prohibits or suspends the PGP Care Partner’s ability to distribute a Downstream Incentive Payment to a Downstream Care Partner pursuant to remedial action imposed by CMS or a State Party under section 15.4 and requires the Hospital to recalculate Incentive Payments to account for any Downstream Incentive Payments that were improperly distributed during such a prohibition or suspension. The arrangement requires the PGP Care Partner to have a Downstream Care Partner Arrangement with each Downstream Care Partner that complies with Article VII and requires the Downstream Care Partner to comply with Article VIII, except that references to “Hospital” are replaced with “Downstream Care Partner.” If the Hospital provides Intervention Resources, it shall provide Intervention Resources only to an individual or entity that is identified on the Care Partner List for the relevant CRP Track during the Performance Period, except that the Hospital shall not provide Intervention Resources to a Care Partner that is a PGP Member. The Hospital shall provide only the Intervention Resources specified in the Hospital’s relevant Approved Track Implementation Protocol. For each Performance Period and for each CRP Track in which the Hospital is participating, the Hospital shall not provide an Intervention Resource to any Care Partner unless the Hospital’s relevant Approved Track Implementation Protocol sets forth an Intervention Resource Allocation. For each Performance Period and for eac...
Sample 1

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