Telehealth Expansion Benefit Enhancement. 1. Appendix J shall apply to this Agreement for any Performance Year for which the ACO has selected the Telehealth Expansion Benefit Enhancement under Section X.A.4, and for which the ACO has submitted an Implementation Plan under Section XI.A.1 for the Telehealth Expansion Benefit Enhancement. 2. In order to be eligible to bill for telehealth services furnished pursuant to the Telehealth Expansion Benefit Enhancement, an individual or entity must be: (a) A Next Generation Professional or a physician or non-physician practitioner listed at 42 CFR § 410.78(b)(2) who is a Preferred Provider; and (b) Authorized under relevant Medicare rules and applicable state law to bill for telehealth services; and (c) Designated on the Participant List or Preferred Provider List as participating in the Telehealth Expansion Benefit Enhancement; and (d) Approved by CMS according to the criteria described in this Section XI.C.2
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Samples: Next Generation Aco Model Participation Agreement, Next Generation Aco Model Participation Agreement, Next Generation Aco Model Participation Agreement
