Common use of PCC Payment Clause in Contracts

PCC Payment. 1. If the ACO wishes to participate in PCC Payment for a Performance Year, it must select PCC Payment as the ACO’s Capitation Payment Mechanism as described in Section 8.01. 2. Unless CMS rejects or later terminates the ACO’s selection to participate in PCC Payment, CMS shall make PCC Payments to the ACO in accordance with Appendix E. Each party shall comply with the terms of Appendix E that are applicable to that party. 3. The ACO shall repay to CMS the Enhanced PCC portion of all PCC Payments it received during a Performance Year as Other Monies Owed at the Performance Year settlement under Section 12.04.A or through settlement reports issued at such other times as provided under Section 12.04.D or in the event of termination, Section 17.04.A. 4. If the ACO selects PCC Payment as its Capitation Payment Mechanism, the ACO must select the maximum Enhanced PCC Percentage as described in Section 8.01 from within the range specified in Appendix E, and may select to participate in the APO as described in Section 8.01.

Appears in 6 contracts

Samples: Participation Agreement, Participation Agreement, Participation Agreement

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