Alignment Years. The Performance Year Alignment Period and the Base Year Alignment Period each consist of two alignment years (each an “Alignment Year”). The first such Alignment Year is the 12- month period ending 18 months prior to the start of the Performance Year or Base Year, as applicable. The second such Alignment Year is the 12-month period ending 6 months prior to the start of the Performance Year or Base Year, as applicable. In this Appendix B, an Alignment Year is identified by the calendar year in which the Alignment Year ends. Table 1.1 of this Appendix B specifies the period covered by each Base Year and each Performance Year, and their corresponding Alignment Years. 1 ESRD status in a month is determined based on Medicare enrollment/eligibility files not dialysis claims. A Beneficiary’s experience accrues to the ESRD Entitlement Category if, during a month, the Beneficiary was receiving maintenance dialysis for kidney failure or was in the 3-month period starting in the month when a kidney transplant was performed.
Appears in 3 contracts
Samples: Vermont Medicare Aco Initiative Participation Agreement, Vermont Medicare Aco Initiative Participation Agreement, Vermont Medicare Aco Initiative Participation Agreement
Alignment Years. The Performance Year Alignment Period and the Base Year Alignment Period each consist of two alignment years (each an “Alignment Year”). The first such Alignment Year is the 12- month period ending 18 months prior to the start of the Performance Year or Base Year, as applicable. The second such Alignment Year is the 12-month period ending 6 months prior to the start of the Performance Year or Base Year, as applicable. In this Appendix B, an Alignment Year is identified by the calendar year in which the Alignment Year ends. Table 1.1 of this Appendix B specifies the period covered by each Base Year and each Performance Year, and their corresponding Alignment Years. 1 3 ESRD status in a month is determined based on Medicare enrollment/eligibility files not dialysis claims. A Beneficiary’s experience accrues to the ESRD Entitlement Category if, during a month, the Beneficiary was receiving maintenance dialysis for kidney failure or was in the 3-month period starting in the month when a kidney transplant was performed.
Appears in 2 contracts
Samples: Vermont Medicare Aco Initiative Participation Agreement, Vermont Medicare Aco Initiative Participation Agreement
