Common use of Care Partner List Clause in Contracts

Care Partner List. (a) By the deadlines specified in the CRP Calendar, and at such other times as mutually agreed to by the State and CMS, the Hospital must submit to CMS a proposed Care Partner List for each Performance Period. The proposed Care Partner List must identify each proposed Care Partner by name, NPI, billing TIN, and such other information as may be specified by CMS, and must specify each CRP Track in which the proposed Care Partner is expected to participate. If any proposed Care Partner is a PGP, the proposed Care Partner List must identify each proposed Downstream Care Partner by the PGP name, billing TIN of the PGP, and the name and NPI of each proposed Downstream Care Partner who is a PGP Member of that PGP. (b) CMS shall conduct a Program Integrity Screening on each individual or entity identified on the proposed Care Partner List. CMS may reject any proposed Care Partner or Downstream Care Partner, or remove an individual or entity identified on the Care Partner List. After reviewing the Program Integrity Screening results, CMS shall submit to the Hospital, by the deadlines specified in the CRP Calendar, an approved Care Partner List identifying the individuals and entities that CMS has approved to be Care Partners and Downstream Care Partners for the Performance Period. (c) The Hospital shall review the CMS-approved Care Partner List and make any necessary corrections to it, including the removal of any individuals or entities that are not enrolled in Medicare, do not provide items and services to CRP Beneficiaries, do not satisfy the relevant Care Partner Qualifications, or with whom the Hospital does not yet have a fully executed written Care Partner Arrangement. The Hospital shall not make any additions to this list at this time. The Hospital shall certify that the list (as corrected, if applicable) is a true, accurate, and complete list of all individuals and entities that CMS has approved to be Care Partners or Downstream Care Partners, and that the list identifies all individuals and entities with whom, in the case of Care Partners, the Hospital has a fully executed Care Partner Arrangement. (d) The Hospital shall submit the certified Care Partner List to CMS by the deadlines specified in the CRP Calendar and shall update the list in accordance with section 5.3.

Care Partner List. (a) By the deadlines specified in the CRP Calendar, and at such other times as mutually agreed to by the State and CMS, the Hospital must submit to CMS a proposed Care Partner List for each the Performance Period. The proposed Care Partner List must identify each proposed Care Partner by name, NPI, billing TIN, and such other information as may be specified by CMS, and must specify each CRP Track in which the proposed Care Partner is expected to participate. If any proposed Care Partner is a PGP, the proposed Care Partner List must identify each proposed Downstream Care Partner by the PGP name, billing TIN of the PGP, and the name and NPI of each proposed Downstream Care Partner who is a PGP Member of that PGP. (b) CMS shall conduct a Program Integrity Screening on each individual or entity identified on the proposed Care Partner List. CMS may reject any proposed Care Partner or Downstream Care Partner, or remove an individual or entity identified on the Care Partner List. After reviewing the Program Integrity Screening results, CMS shall submit to the Hospital, by the deadlines specified in the CRP Calendar, an approved Care Partner List identifying the individuals and entities that CMS it has approved to be Care Partners and Downstream Care Partners for the Performance Period. (c) The Hospital shall review the CMS-CMS approved Care Partner List and make any necessary corrections to it, including the removal of any individuals or entities that are not enrolled in Medicare, do not provide items and services to CRP Maryland Medicare Beneficiaries, do not satisfy the relevant Care Partner Qualifications, or with whom the Hospital does not yet have a fully executed written Care Partner Arrangement. The Hospital shall not make any additions to this list at this time. The Hospital shall certify that the list (as corrected, if applicable) is a true, accurate, and complete list of all individuals and entities that CMS has approved to be Care Partners or Downstream Care Partners, and that the list identifies all individuals and entities with whom, in the case of Care Partners, the Hospital has a fully executed Care Partner Arrangement. (d) The Hospital shall submit the certified Care Partner List to CMS by the deadlines specified in the CRP Calendar and shall update the list in accordance with section 5.3.

Care Partner List. (a) By the deadlines specified in the CRP Calendar, and at such other times as mutually agreed to by the State and CMS, the Hospital must submit to CMS a proposed Care Partner List for each Performance Period. The proposed Care Partner List must identify each proposed Care Partner by name, NPI, billing TIN, and such other information as may be specified by CMS, and must specify each CRP Track in which the proposed Care Partner is expected to participate. If any proposed Care Partner is a PGP, the proposed Care Partner List must identify each proposed Downstream Care Partner by the PGP name, billing TIN of the PGP, and the name and NPI of each proposed Downstream Care Partner who is a PGP Member of that PGP. (b) CMS shall conduct a Program Integrity Screening on each individual or entity identified on the proposed Care Partner List. CMS may reject any proposed Care Partner or Downstream Care Partner, or remove an individual or entity identified on the Care Partner List. After reviewing the Program Integrity Screening results, CMS shall submit to the Hospital, by the deadlines specified in the CRP Calendar, an approved Care Partner List identifying the individuals and entities that CMS it has approved to be Care Partners and Downstream Care Partners for the that Performance Period. (c) The Hospital shall review the CMS-CMS approved Care Partner List and make any necessary corrections to it, including the removal of any individuals or entities that are not enrolled in Medicare, do not provide items and services to CRP Maryland Medicare Beneficiaries, do not satisfy the relevant Care Partner Qualifications, or with whom the Hospital does not yet have a fully executed written Care Partner Arrangement. The Hospital shall not make any additions to this list at this time. The Hospital shall certify that the list (as corrected, if applicable) is a true, accurate, and complete list of all individuals and entities that CMS has approved to be Care Partners or Downstream Care Partners, and that the list identifies all individuals and entities with whom, in the case of Care Partners, the Hospital has a fully executed Care Partner Arrangement. (d) The Hospital shall submit the certified Care Partner List to CMS by the deadlines specified in the CRP Calendar and shall update the list in accordance with section 5.3.