Common use of Right to Reconsideration Clause in Contracts

Right to Reconsideration. ‌ The ACO may request reconsideration of a determination made by CMS pursuant to this Agreement only if such reconsideration is not precluded by Section 1115A(d)(2) of the Act or this Agreement. (a) Such a request for reconsideration by the ACO must satisfy the following criteria: i. The request must be submitted to a designee of CMS (“Reconsideration Official”) who— A. Is authorized to receive such requests; and B. Did not participate in the determination that is the subject of the reconsideration request. ii. The request must contain a detailed, written explanation of the basis for the dispute, including supporting documentation. iii. The request must be made within 30 days of the date of the determination for which reconsideration is being requested via email to CMS at the address specified in Section XXI.A or such other address as may be specified by CMS. (b) Requests that do not meet the requirements of Section XX.B.1(a) will be denied by the Reconsideration Official. (c) Within 10 business days of receiving a request for reconsideration, the Reconsideration Official will send to the ACO and to CMS a written acknowledgement of receipt of the reconsideration request. Such an acknowledgement will set forth: i. The review procedures; and ii. A schedule that permits each party to submit only one written position paper, including any supporting documentation, for consideration by the Reconsideration Official in support of the party’s position. The submission of any additional papers or supporting documentation will be at the sole discretion of the Reconsideration Official.

Right to Reconsideration. ‌ The ACO may request reconsideration of a determination made by CMS pursuant to this Agreement only if such reconsideration is not precluded by Section 1115A(d)(2) of the Act or this Agreement. (a) Such a request for reconsideration by the ACO must satisfy the following criteria: i. The request must be submitted to a designee of CMS (“Reconsideration Officialreconsideration official”) who— A. Is authorized to receive such requests; and B. Did not participate in the determination that is the subject of the reconsideration request. ii. The request must contain a detailed, written explanation of the basis for the dispute, including supporting documentation. iii. The request must be made within 30 days of the date of the determination for which reconsideration is being requested via email to CMS at the address specified in Section XXI.A or such other address as may be specified by CMS. (b) Requests that do not meet the requirements of Section XX.B.1(a) will be denied by the Reconsideration Officialreconsideration official. (c) Within 10 business days of receiving a request for reconsideration, the Reconsideration Official reconsideration official will send to the ACO and to CMS a written acknowledgement of receipt of the reconsideration request. Such an acknowledgement will set forth: i. The review procedures; and ii. A briefing schedule that permits each party to submit only one written position paperbrief, including any supporting documentationevidence, for consideration by the Reconsideration Official reconsideration official in support of the party’s position. The submission of any additional papers briefs or supporting documentation supplemental evidence will be at the sole discretion of the Reconsideration Officialreconsideration official.

Right to Reconsideration. ‌ The ACO may request reconsideration of a determination made by CMS pursuant to this Agreement only if such reconsideration is not precluded by Section 1115A(d)(2) of the Act or this Agreement. (a) Such a request for reconsideration by the ACO must satisfy the following criteria: i. The request must be submitted to a designee of CMS (“Reconsideration Officialreconsideration official”) who— A. Is authorized to receive such requests; and B. Did not participate in the determination that is the subject of the reconsideration request. ii. The request must contain a detailed, written explanation of the basis for the dispute, including supporting documentation. iii. The request must be made within 30 days of the date of the determination for which reconsideration is being requested via email to CMS at the address specified in Section XXI.A or such other address as may be specified by CMS. (b) Requests that do not meet the requirements of Section XX.B.1(a) will be denied by the Reconsideration Officialreconsideration official. (c) Within 10 business days of receiving a request for reconsideration, the Reconsideration Official reconsideration official will send to the ACO and to CMS a written acknowledgement of receipt of the reconsideration request. Such an acknowledgement will set forth: i. The review procedures; and ii. A briefing schedule that permits each party to submit only one written position paperbrief, including any supporting documentationevidence, for consideration by the Reconsideration Official reconsideration official in support of the party’s position. The submission of any additional papers briefs or supporting documentation supplemental evidence will be at the sole discretion of the Reconsideration Officialreconsideration official.