Beneficiary Rights to Opt Out of Data Sharing Sample Clauses

Beneficiary Rights to Opt Out of Data Sharing. ‌ A. The ACO shall provide Beneficiaries who inquire about or wish to modify their preferences regarding claims data sharing for care coordination and quality improvement purposes with information about how to modify their data sharing preferences via 1-800-MEDICARE. Such communications shall note that, even if a Beneficiary has elected to decline claims data sharing, CMS may still engage in certain limited data sharing for care coordination and quality improvement activities for REACH Beneficiaries, and population-based activities relating to improving health or reducing health care costs. B. The ACO shall allow Beneficiaries to reverse a data sharing preference at any time by calling 0-000-XXXXXXXX. C. CMS will maintain the data sharing preferences of Beneficiaries who elect to decline data sharing in this Model or who have previously declined data sharing under the Medicare Shared Savings Program, the Pioneer ACO Model, or the Next Generation ACO Model. D. The ACO may affirmatively contact a REACH Beneficiary who has elected to decline claims data sharing no more than one time during a Performance Year to provide information regarding data sharing. Such contact includes mailings, phone calls, electronic communications, or other methods of communicating with Beneficiaries outside of a clinical setting. E. In the event that an ACO Professional is terminated from the ACO for any reason, if that departing ACO Professional is the sole ACO Professional in the ACO to have submitted claims for a particular Beneficiary during the 12-month period prior to the effective date of the termination, CMS will administratively opt the Beneficiary out of all claims data-sharing under Section 6.02.C.2 within 30 Days of the effective date of the termination, unless the Beneficiary has selected another ACO Professional as his or her main doctor, main provider, and/or main place they receive care (whether through MVA or SVA) or has become the patient of another Participant Provider or Preferred Provider. F. Notwithstanding the foregoing, if CMS elects to offer SUD data sharing as described in Section 6.02.A, the ACO shall receive claims data regarding SUD treatment only if the Beneficiary has not elected to decline data sharing or otherwise been opted out of data sharing and has also submitted a CMS-approved SUD opt in form pursuant to Section 6.05.