Common use of Loss of Eligibility for Medicare Payment Clause in Contracts

Loss of Eligibility for Medicare Payment. If an individual or entity on the Participant Provider List or Preferred Provider List becomes ineligible to receive payment from Medicare, the ACO shall notify CMS, in a form and manner specified by CMS, within 15 Days of receiving notice of such ineligibility. The removal of the individual or entity from the Participant Provider List or Preferred Provider List pursuant to this Section 4.03.B.2 will be effective as of the date the individual or entity lost eligibility to receive payment from Medicare.