Care Partner List definition
Examples of Care Partner List in a sentence
CMS may reject any proposed Care Partner or Downstream Care Partner, or remove an individual or entity identified on the Care Partner List.
Except at such times and in such manner as CMS may permit, the Hospital shall not request the addition of any individual or entity to the Care Partner List or increase the number of CRP Tracks in which a Care Partner participates.
Any such requests shall be made in accordance with the procedures set forth in section 5.2, except that CMS need not conduct a Program Integrity Screening in the case of a request to make a late addition to the certified Care Partner List or a request to increase the number of CRP Tracks in which a Care Partner or Downstream Care Partner is participating.
If any proposed Care Partner is a PGP, the proposed Care Partner List must identify each proposed Downstream Care Partner by the PGP name, billing TIN of the PGP, and the name and NPI of each proposed Downstream Care Partner who is a PGP Member of that PGP.
The proposed Care Partner List must identify each proposed Care Partner by name, NPI, billing TIN, and such other information as may be specified by CMS, and must specify each CRP Track in which the proposed Care Partner is expected to participate.
Any late addition to a certified Care Partner List will become effective on the date the request is approved by CMS.
The removal of the individual or entity from the Care Partner List or from the relevant CRP Track will be effective on the date the individual or entity ceased to be a Care Partner or Downstream Care Partner, or ceased to participate in the relevant CRP Track.
If CMS removes an individual or entity from the Care Partner List, it shall notify the Hospital and each State Party in writing of the effective date of removal.
After reviewing the Program Integrity Screening results, CMS shall submit to the Hospital, by the deadlines specified in the CRP Calendar, an approved Care Partner List identifying the individuals and entities that CMS has approved to be Care Partners and Downstream Care Partners for the Performance Period.
For purposes of this paragraph, a request to make a “late addition” to the certified Care Partner List is a request to add an individual or entity that appeared on the CMS-approved Care Partner List submitted to the Hospital by CMS pursuant to section 5.2(b) but did not appear on the Care Partner List that was certified by the Hospital pursuant to section 5.2(c).