Common use of For the ACO’s First Performance Year Clause in Contracts

For the ACO’s First Performance Year. a. If the ACO selected to participate in TCC Payment for the ACO’s first Performance Year as described in Section 8.01, the ACO shall certify that the ACO has obtained written confirmation that each individual and entity listed on the Participant Provider List at the start of the ACO’s first Performance Year will participate in TCC Payment for that Performance Year, and that each individual and entity listed on the Preferred Provider List as participating in TCC Payment at the start of the ACO’s first Performance Year has consented to participate in TCC Payment for that Performance Year in accordance with this Section 12.02.E. b. If the ACO selected to participate in TCC Payment as its Capitation Payment Mechanism for the ACO’s first Performance Year, the ACO shall certify that each individual and entity listed on the Participant Provider List at the start of the ACO’s first Performance Year has agreed to a TCC Fee Reduction of 100%, and that each individual and entity listed on the Preferred Provider List as participating in TCC Payment at the start of the ACO’s first Performance Year has agreed to a TCC Fee Reduction that is a percentage within the range of 1% and 100%. c. [Reserved] d. If the ACO selected to participate in PCC Payment for the ACO’s first Performance Year as described in Section 8.01, the ACO shall certify that the ACO has obtained written confirmation that each individual and entity listed on the Participant Provider List at the start of the ACO’s first Performance Year will participate in PCC Payment for that Performance Year, and that each individual and entity listed on the Preferred Provider List as participating in PCC Payment at the start of the ACO’s first Performance Year has consented to participate in PCC Payment for that Performance Year in accordance with this Section 12.02.E. e. If the ACO selected PCC Payment as its Capitation Payment Mechanism for the ACO’s first Performance Year, the ACO shall certify that each individual and entity listed on either the Proposed Participant Provider List or the Proposed Preferred Provider List as participating in PCC Payment at the start of the ACO’s first Performance Year has agreed to a PCC Fee Reduction that is a percentage within the range of 10% and 100%. f. If the ACO has selected to participate in the APO for the ACO’s first Performance Year as described in Section 8.01, the ACO shall certify that the ACO has obtained written confirmation that each individual and entity listed on either the Proposed Participant Provider List or the Proposed Preferred Provider List as participating in the APO at the start of the ACO’s first Performance Year has consented to participate in the APO for that Performance Year in accordance with this Section 12.02.E. g. If the ACO has selected to participate in the APO for the ACO’s first Performance Year, the ACO shall certify that each individual and entity listed on either the Proposed Participant Provider List or the Proposed Preferred Provider List as participating in the APO at the start of the ACO’s first Performance Year has agreed to an APO Fee Reduction that is a percentage within the range of 1% and 100%.

Appears in 3 contracts

Samples: Participation Agreement, Participation Agreement, Model Performance Period Participation Agreement

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For the ACO’s First Performance Year. a. If the ACO selected to participate in TCC Payment for the ACO’s first Performance Year as described in Section 8.01, the ACO shall certify that the ACO has obtained written confirmation that each individual and entity listed on the Participant Provider List at the start of the ACO’s first Performance Year will participate in TCC Payment for that Performance Year, and that each individual and entity listed on the Preferred Provider List as participating in TCC Payment at the start of the ACO’s first Performance Year has consented to participate in TCC Payment for that Performance Year in accordance with this Section 12.02.E. b. If the ACO selected to participate in TCC Payment as its Capitation Payment Mechanism for the ACO’s first Performance Year, the ACO shall certify that each individual and entity listed on the Participant Provider List at the start of the ACO’s first Performance Year has agreed to a TCC Fee Reduction of 100%, and that each individual and entity listed on the Preferred Provider List as participating in TCC Payment at the start of the ACO’s first Performance Year has agreed to a TCC Fee Reduction that is a percentage within the range of 1% and 100%. c. [Reserved] d. If the ACO selected to participate in PCC Payment for the ACO’s first Performance Year as described in Section 8.01, the ACO shall certify that the ACO has obtained written confirmation that each individual and entity listed on the Participant Provider List at the start of the ACO’s first Performance Year will participate in PCC Payment for that Performance Year, and that each individual and entity listed on the Preferred Provider List as participating in PCC Payment at the start of the ACO’s first Performance Year has consented to participate in PCC Payment for that Performance Year in accordance with this Section 12.02.E. e. If the ACO selected PCC Payment as its Capitation Payment Mechanism for the ACO’s first Performance Year, the ACO shall certify that each individual and entity listed on either the Proposed Participant Provider List or the Proposed Preferred Provider List as participating in PCC Payment at the start of the ACO’s first Performance Year has agreed to a PCC Fee Reduction that is a percentage within the range of 105% and 100%. f. If the ACO has selected to participate in the APO for the ACO’s first Performance Year as described in Section 8.01, the ACO shall certify that the ACO has obtained written confirmation that each individual and entity listed on either the Proposed Participant Provider List or the Proposed Preferred Provider List as participating in the APO at the start of the ACO’s first Performance Year has consented to participate in the APO for that Performance Year in accordance with this Section 12.02.E. g. If the ACO has selected to participate in the APO for the ACO’s first Performance Year, the ACO shall certify that each individual and entity listed on either the Proposed Participant Provider List or the Proposed Preferred Provider List as participating in the APO at the start of the ACO’s first Performance Year has agreed to an APO Fee Reduction that is a percentage within the range of 1% and 100%.

Appears in 3 contracts

Samples: Participation Agreement, Participation Agreement, Participation Agreement

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