Participant Profile definition

Participant Profile means the document submitted, accepted, and updated in accordance with Article 5.5, which includes: (1) a list indicating the Clinical Episodes for which the Participant commits to be held accountable under BPCI Advanced; (2) to the extent the Participant is a Convener Participant, a list of the Participant’s Downstream Episode Initiators and whether or not each Downstream Episode Initiator has entered into an SRS Reduction Agreement (as defined in Article 7.6 of this Agreement) with CMS; (3) the Participant’s intention to: (i) engage in Financial Arrangements permitted under Article 8; (ii) offer beneficiary incentives permitted under Article 10; or (iii) furnish services to BPCI Advanced Beneficiaries pursuant to one or more of the Payment Policy Waivers described in Article 11 and Appendices E, F, and G of this Agreement; and (4) the four MIPS Improvement Activities in which the Participant will participate as required by Article 4.5.
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Participant Profile means the document submitted, accepted, and updated in accordance with Article 5.5, which includes: (1) a list indicating the Clinical Episodes for which the Participant commits to be held accountable under BPCI Advanced; (2) to the extent the Participant is a Convener Participant, a list of the Participant’s Downstream Episode Initiators and whether or not each Downstream Episode Initiator has entered into an SRS Reduction Agreement (as defined in Article 7.6 of this Agreement) with CMS; (3) the Participant’s intention to: (i) engage in Financial Arrangements permitted under Article 8; (ii) offer beneficiary incentives permitted under Article 10; or (iii) furnish services to BPCI Advanced Beneficiaries pursuant to one or more of the Payment Policy Waivers described in Article 11 and Appendices E, F, and G of this Agreement; and (5) the four MIPS Improvement Activities in which the Participant will participate as required by Article 4.5.
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Examples of Participant Profile in a sentence

  • If the Participant is a Convener Participant, then the Participant shall include at least one Downstream Episode Initiator in its Participant Profile and indicate whether each of its Downstream Episode Initiators has entered into an SRS Reduction Agreement with CMS.

  • Except for COVID-19 Clinical Episodes, the Participant is accountable for all Clinical Episodes identified on its Participant Profile that are attributed to Downstream Episode Initiators identified on the Participant Profile unless or until CMS allows changes to the Participant Profile in accordance with the terms of this Agreement, regardless of whether any agreement between the Participant and the Downstream Episode Initiator is earlier terminated or not.

  • The Participant is accountable for all Clinical Episodes identified on its Participant Profile that are attributed to Downstream Episode Initiators identified on the Participant Profile unless or until CMS allows changes to the Participant Profile in accordance with the terms of this Agreement, regardless of whether any agreement between the Participant and the Downstream Episode Initiator is earlier terminated or not.

  • Such removal of an Episode Initiator from the Participant Profile by CMS will be effective on the date the entity is so removed.

  • The initial Participant Profile becomes effective on the Start Date.

  • CMS may reject any Downstream Episode Initiator listed on the initial Participant Profile on the basis of the results of a Program Integrity Screening, history of program integrity issues, or if CMS determines that the entity does not satisfy the definition of an Episode Initiator.

  • Required core services and activities provided to unduplicated individuals who are enrolled in the HCC (assessed, deemed eligible, chose to enroll in the HCC, have an Open Case (i.e., Participant Profile).

  • Optional additional services and activities provided to unduplicated individuals who are enrolled in the HCC (assessed, deemed eligible, chose to enroll in the HCC, have an Open Case (i.e., Participant Profile)).

  • DocuSign Envelope ID: 807942A5-6EED-4D44-B964-8977132CD87A • Two photos of the participant adhering to the standards outlined in the Participant Profile Instructions (see Attachment 7).

  • If the Participant is a Convener Participant, the Participant shall include at least one Downstream Episode Initiator in its Participant Profile and indicate whether each of its Downstream Episode Initiators have entered into an SRS Reduction Agreement with CMS.