Valid Designation. A designation of a Participant Provider as a Beneficiary’s primary clinician, main doctor, main provider, and/or the main place they receive care (whether through MVA or SVA) is valid for a Performance Year, if either: (1) the designation was made no earlier than two years before the start of that Performance Year; or (2) the Participant Provider designated by the Beneficiary has submitted a claim for a PQEM Service furnished to the Beneficiary during the period that began 25 months before the start of that Performance Year and ends 1 month before the start of that Performance Year (“Valid Designation”).
Appears in 4 contracts
Samples: Participation Agreement, Participation Agreement, Participation Agreement