Beneficiaries definition
Examples of Beneficiaries in a sentence
In conducting the collection required under this Section 13.01.D, the ACO shall make a reasonable effort to collect demographic and social determinants of health data from all REACH Beneficiaries but, in the case of a REACH Beneficiary that elects not to provide such data to the ACO, its Participant Providers, or its Preferred Providers, the ACO shall indicate such election by the REACH Beneficiary in its report to CMS.
Distributing the ACO’s, a Participant Provider’s, or a Preferred Provider’s business cards and contact information to Beneficiaries.
In its evaluation activities, CMS may use data or information submitted by the ACO as well as claims submitted to CMS for items and services furnished to Beneficiaries.
Beneficiaries and their assignees retain their right to appeal claims determinations in accordance with 42 CFR Part 405, Subpart I.
The ACO may identify Beneficiaries for Health Equity Plan Interventions based on other factors, including medical history, health status, health needs, income, or geographic location, so long as the ACO, its Participant Providers, Preferred Providers, and other individuals or entities performing functions or services related to Health Equity Activities comply with all applicable Federal anti-discrimination laws and regulations.