Common use of Care Partner Arrangement Requirements Clause in Contracts

Care Partner Arrangement Requirements. The Hospital shall ensure that each Care Partner Arrangement complies with the following criteria: The arrangement is in writing, legally binds the parties to comply with the terms of the arrangement, and is in existence before Allowable CRP Interventions are performed by the Care Partner. The arrangement specifies the following: Each CRP Track in which the Care Partner will participate and the Allowable CRP Interventions, as set forth in the relevant Approved Track Implementation Protocol, that the Care Partner may perform; The Care Partner Qualifications; The mechanism through which the Care Partner must report to the Hospital the number of Allowable CRP Interventions it has performed (or, in the case of a PGP Care Partner, its Downstream Care Partners have performed) and the frequency of such reporting; and The financial or economic terms of the Care Partner Arrangement for each CRP Track in which the Care Partner is participating, including the frequency and Incentive Payment Methodology for Incentive Payments and the nature and amount of Intervention Resources. The arrangement complies with all relevant laws and regulations, including all applicable fraud and abuse laws and all applicable payment and coverage requirements. The arrangement requires the Care Partner and its employees and contractors, if any, to comply with the applicable terms of this Agreement (including requirements regarding PIPs, access to records, record retention, and participation in any evaluation, monitoring, compliance, and enforcement activities performed by CMS, the State, or their designees) and all other applicable laws and regulations, including fraud and abuse laws. The Hospital shall provide a copy of this Agreement and the Hospital’s relevant Approved Track Implementation Protocols to each Care Partner. The arrangement requires the Care Partner to use Certified Electronic Health Record Technology, as defined at 42 CFR 414.1305, to create a summary record of care formatted according the standard adopted at 45 CFR 170.205(a)(3) that includes, where applicable, the Common Clinical Data Set as defined by 45 CFR 170.102. The arrangement shall also require the Care Partner to electronically transmit such summary to a state-designated health information exchange in more than 10 percent of the instances when the Care Partner transitions or refers a patient to another setting of care. The arrangement requires the Care Partners to comply with the requirements set forth in Article VIII, except that references to “Hospital” are replaced with “Care Partner.” The arrangement requires the Care Partner to be in compliance with all Medicare provider enrollment requirements at 42 CFR 424.500 et seq., including having a valid and active TIN, NPI, or other identifier and reporting all changes to enrollment information to CMS consistent with 42 CFR 424.516. The arrangement requires the Care Partner to use, as defined by the implementing regulations at 42 CFR part 412 and 42 CFR part 495, a state-designated health information exchange. The individual’s or entity’s participation as a Care Partner in the relevant CRP Track must be voluntary and without penalty for nonparticipation. The arrangement does not induce the Hospital or a Care Partner to reduce or limit Medically Necessary services to any Medicare beneficiary. The arrangement complies with the requirements set forth in sections 6.5 and 6.6, regarding Incentive Payment and Intervention Resource requirements, and section 6.4 regarding PGP Care Partners, if applicable. The arrangement requires the Hospital to comply with the notification requirements in sections 4.1, 4.2, and 16.5(b) and to provide prompt written notice to the Care Partner of the effective date of termination of the Hospital’s relevant Approved Track Implementation Protocol.

Care Partner Arrangement Requirements. The Hospital shall ensure that each Care Partner Arrangement complies with the following criteria: : (a) The arrangement is in writing, legally binds the parties to comply with the terms of the arrangement, and is in existence before Allowable CRP Interventions are performed by the Care Partner. . (b) The arrangement specifies the following: : (i) Each CRP Track in which the Care Partner will participate and the Allowable CRP Interventions, as set forth in the relevant Approved Track Implementation Protocol, that the Care Partner may perform; ; (ii) The Care Partner Qualifications; ; (iii) The mechanism through which the Care Partner must report to the Hospital the number of Allowable CRP Interventions it has performed (or, in the case of a PGP Care Partner, its Downstream Care Partners have performed) and the frequency of such reporting; and and (iv) The financial or economic terms of the Care Partner Arrangement for each CRP Track in which the Care Partner is participating, including the frequency and Incentive Payment Methodology for Incentive Payments and the nature and amount of Intervention Resources. . (c) The arrangement complies with all relevant laws and regulations, including all applicable fraud and abuse laws and all applicable payment and coverage requirements. . (d) The arrangement requires the Care Partner and its employees and contractors, if any, to comply with the applicable terms of this Agreement (including requirements regarding PIPs, access to records, record retention, and participation in any evaluation, monitoring, compliance, and enforcement activities performed by CMS, the State, or their designees) and all other applicable laws and regulations, including fraud and abuse laws. The Hospital shall provide a copy of this Agreement and the Hospital’s relevant Approved Track Implementation Protocols to each Care Partner. . (e) The arrangement requires the Care Partner to use Certified Electronic Health Record Technology, as defined at 42 CFR 414.1305, to create a summary record of care formatted according the standard adopted at 45 CFR 170.205(a)(3) that includes, where applicable, the Common Clinical Data Set as defined by 45 CFR 170.102. The arrangement shall also require the Care Partner to electronically transmit such summary to a state-state- designated health information exchange in more than 10 percent of the instances when the Care Partner transitions or refers a patient to another setting of care. . (f) The arrangement requires the Care Partners to comply with the requirements set forth in Article VIII, except that references to “Hospital” are replaced with “Care Partner.” ” (g) The arrangement requires the Care Partner to be in compliance with all Medicare provider enrollment requirements at 42 CFR 424.500 et seq., including having a valid and active TIN, NPI, or other identifier and reporting all changes to enrollment information to CMS consistent with 42 CFR 424.516. . (h) The arrangement requires the Care Partner to use, as defined by the implementing regulations at 42 CFR part 412 and 42 CFR part 495, a state-state- designated health information exchange. . (i) The individual’s or entity’s participation as a Care Partner in the relevant CRP Track must be voluntary and without penalty for nonparticipation. . (j) The arrangement does not induce the Hospital or a Care Partner to reduce or limit Medically Necessary services to any Medicare beneficiary. . (k) The arrangement complies with the requirements set forth in sections 6.5 and 6.6, regarding Incentive Payment and Intervention Resource requirements, and section 6.4 regarding PGP Care Partners, if applicable. . (l) The arrangement requires the Hospital to comply with the notification requirements in sections 4.1, 4.2, and 16.5(b) and to provide prompt written notice to the Care Partner of the effective date of termination of the Hospital’s relevant Approved Track Implementation Protocol.

Care Partner Arrangement Requirements. The Hospital shall ensure that each Care Partner Arrangement complies with the following criteria: : (a) The arrangement is in writing, legally binds the parties to comply with the terms of the arrangement, and is in existence before Allowable CRP Interventions are performed by the Care Partner. . (b) The arrangement specifies the following: : (i) Each CRP Track in which the Care Partner will participate and the Allowable CRP Interventions, as set forth in the relevant Approved Track Implementation Protocol, that the Care Partner may perform; ; (ii) The Care Partner Qualifications; ; (iii) The mechanism through which the Care Partner must report to the Hospital the number of Allowable CRP Interventions it has performed (or, in the case of a PGP Care Partner, its Downstream Care Partners have performed) and the frequency of such reporting; and and (iv) The financial or economic terms of the Care Partner Arrangement for each CRP Track in which the Care Partner is participating, including the frequency and Incentive Payment Methodology for Incentive Payments and the nature and amount of Intervention Resources. . (c) The arrangement complies with all relevant laws and regulations, including all applicable fraud and abuse laws and all applicable payment and coverage requirements. . (d) The arrangement requires the Care Partner and its employees and contractors, if any, to comply with the applicable terms of this Agreement (including requirements regarding PIPs, access to records, record retention, and participation in any evaluation, monitoring, compliance, and enforcement activities performed by CMS, the State, or their designees) and all other applicable laws and regulations, including fraud and abuse laws. The Hospital shall provide a copy of this Agreement and the Hospital’s relevant Approved Track Implementation Protocols to each Care Partner. . (e) The arrangement requires the Care Partner to use a Certified Electronic Health Record Technology, as defined at 42 CFR 414.1305, Technology to create a summary record of care formatted according the standard adopted at 45 CFR 170.205(a)(3) that includes, where applicable, the Common Clinical Data Set as defined by 45 CFR 170.102. The arrangement shall also require the Care Partner to electronically transmit such summary to a state-designated health information exchange in more than 10 percent of the instances when the Care Partner transitions or refers a patient to another setting of care. . (f) The arrangement requires the Care Partners to comply with the requirements set forth in Article VIII, except that references to “Hospital” are replaced with “Care Partner.” ” (g) The arrangement requires the Care Partner to be in compliance with all Medicare provider enrollment requirements at 42 CFR 424.500 et seq., including having a valid and active TIN, NPI, or other identifier and reporting all changes to enrollment information to CMS consistent with 42 CFR 424.516. . (h) The arrangement requires the Care Partner to use, as defined by the implementing regulations at 42 CFR part 412 and 42 CFR part 495, a state-state- designated health information exchange. . (i) The individual’s or entity’s participation as a Care Partner in the relevant CRP Track must be voluntary and without penalty for nonparticipation. . (j) The arrangement does not induce the Hospital or a Care Partner to reduce or limit Medically Necessary services to any Medicare beneficiary. . (k) The arrangement complies with the requirements set forth in sections 6.5 and 6.6, regarding Incentive Payment and Intervention Resource requirements, requirements and section 6.4 6.4, regarding PGP Care Partners, if applicable. . (l) The arrangement requires the Hospital to comply with the notification requirements in sections 4.1, 4.2, and 16.5(b) and to provide prompt written notice to the Care Partner of the effective date of termination of the Hospital’s relevant Approved Track Implementation Protocol.

Care Partner Arrangement Requirements. The Hospital shall ensure that each Care Partner Arrangement complies with the following criteria: : (a) The arrangement is in writing, legally binds writing and signed by the parties to comply with Hospital and the terms of the arrangement, and is in existence Care Partner before Allowable CRP Interventions are performed by the Care Partner. . (b) The arrangement specifies the following: : (i) Each CRP Track in which the Care Partner will participate and the Allowable CRP Interventions, as set forth in the relevant Approved Track Implementation Protocol, that the Care Partner may perform; ; (ii) The Care Partner Qualifications; ; (iii) The mechanism through which the Care Partner must report to the Hospital the number of Allowable CRP Interventions it has performed (or, in the case of a PGP Care Partner, its Downstream Care Partners have performed) and the frequency of such reporting; and and (iv) The financial or economic terms of the Care Partner Arrangement for each CRP Track in which the Care Partner is participating, including the frequency and Incentive Payment Methodology for Incentive Payments and the nature and amount of Intervention Resources. . (c) The arrangement complies with all relevant laws and regulations, including all applicable fraud and abuse laws and all applicable payment and coverage requirements. . (d) The arrangement requires the Care Partner and its employees and contractors, if any, to comply with the applicable terms of this Agreement (including requirements regarding PIPs, access to records, record retention, and participation in any evaluation, monitoring, compliance, and enforcement activities performed by CMS, the State, or their designees) and all other applicable laws and regulations, including fraud and abuse laws. The Hospital shall provide a copy of this Agreement and the Hospital’s relevant Approved Track Implementation Protocols to each Care Partner. . (e) The arrangement requires the Care Partner to use a Certified Electronic Health Record Technology, as defined at 42 CFR 414.1305, Technology to create a summary record of care formatted according the standard adopted at 45 CFR 170.205(a)(3) that includes, where applicable, the Common Clinical Data Set as defined by 45 CFR 170.102. The arrangement shall also require the Care Partner to electronically transmit such summary to a state-state- designated health information exchange in more than 10 percent of the instances when the Care Partner transitions or refers a patient to another setting of care. . (f) The arrangement requires the Care Partners to comply with the requirements set forth in Article VIII, except that references to “Hospital” are replaced with “Care Partner.” ” (g) The arrangement requires the Care Partner to be in compliance with all Medicare provider enrollment requirements at 42 CFR 424.500 et seq., including having a valid and active TIN, NPI, or other identifier and reporting all changes to enrollment information to CMS consistent with 42 CFR 424.516. . (h) The arrangement requires the Care Partner to use, as defined by the implementing regulations at 42 CFR part 412 and 42 CFR part 495, a state-designated health information exchange. . (i) The individual’s or entity’s participation as a Care Partner in the relevant CRP Track must be voluntary and without penalty for nonparticipation. . (j) The arrangement does not induce the Hospital or a Care Partner to reduce or limit Medically Necessary services to any Medicare beneficiary. . (k) The arrangement complies with the requirements set forth in sections 6.5 and 6.6, regarding Incentive Payment and Intervention Resource requirements, requirements and section 6.4 6.4, regarding PGP Care Partners, if applicable. . (l) The arrangement requires the Hospital to comply with the notification requirements in sections 4.1, 4.2, and 16.5(b) and to provide prompt written notice to the Care Partner of the effective date of termination of the Hospital’s relevant Approved Track Implementation Protocol.