ACO Provider definition
Examples of ACO Provider in a sentence
ACO shall make new or revised policies available to Participants on the ACO Provider Portal at least thirty (30) days prior to their implementation unless those policies are changed to achieve regulatory or legal compliance for which immediate effectiveness is required.
Participants and Preferred Providers may submit grievances and appeal qualified ACO decisions in accordance with the ACO Appeals Policy, available on the ACO Provider Portal and incorporated herein by reference.
Conditioning the participation of Practice Providers or Suppliers on referrals of Federal health care program business that the ACO, Provider, Practice Provider, or Suppliers know or should know is being (or would be) provided to Members who are not assigned to the ACO.
ACO has entered into an agreement with DVHA through which the ACO will participate in the Vermont Medicaid Next Generation Model (the “Program”), an alternative payment and population health management program with Medicaid, as described in Vermont Medicaid Next Generation Participation Agreement that will be available on the ACO Provider Portal and is incorporated by reference into this ACO Program Addendum.
ACO has entered into an agreement with the Centers for Medicare and Medicaid Services (“CMS”) through which the ACO will participate in the Next Generation ACO Model (the “Program”), an alternative payment and population health management program with Medicare, as described in the agreement between ACO and CMS (“Next Generation Participation Agreement”) available on the ACO Provider Portal and incorporated by reference into this ACO Program Addendum.
ACO has entered into an agreement with BCBSVT through which the ACO will participate in an alternative payment and population health management program with BCBSVT (the “Program”), as described in the BCBSVT Next Generation Program Agreement (“Program Agreement”) available on the ACO Provider Portal and incorporated by reference into this ACO Program Addendum.
Participants and Affiliates may submit grievances and appeal qualified ACO decisions in accordance with the ACO Appeals Policy, available on the ACO Provider Portal and incorporated herein by reference.
ACO has entered into an agreement with DVHA through which the ACO will participate in the Vermont Medicaid Next Generation Model (the “Program”), an alternative payment and population health management program with Medicaid, as described in the agreement between ACO and DVHA (“Vermont Medicaid Next Generation Participation Agreement” or “Participation Agreement”) available on the ACO Provider Portal and incorporated by reference into this ACO Program Addendum.
ACO shall, to the extent practicable, make new policies available to Participants on the ACO Provider Portal prior to their implementation, unless those policies are changed to achieve regulatory or legal compliance for which immediate effectiveness is required.
EXEMPLAR ACO has entered into an agreement with DVHA through which the ACO will participate in the Vermont Medicaid Next Generation Model (the “Program”), an alternative payment and population health management program with Medicaid, as described in Vermont Medicaid Next Generation Program Agreement that will be available on the ACO Provider Portal and is incorporated by reference into this ACO Program Addendum.