Health Oversight Agency. The GMCB acknowledges that it has provided assertions to CMS as to its status as “health oversight agency” (as defined in 45 C.F.R. § 164.501) in the context of this Model.
Health Oversight Agency. The State represents that it is a Health Oversight Agency and includes assertions in Appendix H and Appendix I from the GMCB and AHS as to their status as a “Health oversight agency” (as that term is defined in 45 C.F.R. § 164.501) in the context of this Model. The State must maintain its status as a Health Oversight Agency throughout the Implementation Period. If the State loses its status as a Health Oversight Agency, CMS will consider this to be a Triggering Event subject to an enforcement action, as described in Section 20, and CMS will no longer share Medicare FFS Beneficiary data with the State.
