![]() Please check this file periodically for updates. PY 2021/PY 2022 Shared Savings Program Report Templates (ZIP) : CMS revises the format of the reports annually to account for changes in the program's regulations, and to incorporate ACOs' feedback on the reports including requests for additional data elements.ACOs must request to receive monthly Claim and Claim Line Feed (CCLF) files on Medicare fee-for-service (FFS) beneficiaries who have not declined to share their data. ĬMS provides ACOs with information on their assigned population and financial performance at the start of the agreement period and routinely during the performance year. To participate in the Shared Savings Program, each ACO must have a compliance plan in accordance with 42 CFR § 425.300. Appendix G: Repayment Mechanism Checklist (Updated ) (PDF).Appendix F: ACO-Initiated Request to Edit Repayment Mechanism Task in ACO-MS (Updated ) (DOCX).Appendix E: Repayment Mechanism Documentation Cover Sheet (Updated ) (DOCX).Appendix D: Surety Bond Sample (Updated ) (DOCX).Appendix C: Letter of Credit Sample (Updated ) (DOCX).Appendix B: Escrow Agreement Amendment Sample (Updated (DOCX).Appendix A: Escrow Agreement Template (Updated ) (PDF).Repayment Mechanism Arrangements Guidance (Updated ) (PDF).The Centers for Medicare & Medicaid Services (CMS) strongly encourages applicants to submit preliminary repayment mechanism documentation in Microsoft Word format for feedback. Repayment Mechanism Arrangements GuidanceĪCOs electing to participate in two-sided risk must have the ability to pay all shared losses for which they may be liable. ACO Banking Form Instructions (Updated ) (PDF).Participating ACOs must maintain a current Electronic Funds Transfer Authorization Agreement (Form CMS-588) to receive shared savings. Beneficiary Incentive Program Guidance (Updated ) (PDF).Participating ACOs approved to establish and operate a Beneficiary Incentive Program (BIP) may provide an incentive payment with a value of up to $20 to each assigned beneficiary for each qualifying primary care service received. Skilled Nursing Facility 3-Day Rule Waiver Guidance (Updated ) (PDF).Participating ACOs approved for a Skilled Nursing Facility (SNF) 3-Day Rule Waiver may modify their SNF Affiliate List and associated agreements for the upcoming performance year during established timeframes. Frequently asked questions about affiliating with an ACO as an “ Other Entity (PDF),” instead of as an ACO participant.ACO Participant List and Participant Agreement Guidance (Updated ) (PDF).Participating ACOs may modify their ACO Participant List and associated agreements for the upcoming performance year during established timeframes. ACO Participant List and Participant Agreement Guidance For more information about applying to the Shared Savings Program, refer to the Application Toolkit. The Application Toolkit provides quick access to guidance relevant to all application types. Requesting Technical Assistance and Reconsideration Review Guidance.Financial and Beneficiary Assignment Specifications.Repayment Mechanism Arrangements Guidance.ACO Participant List and Participant Agreement Guidance.No matter how you choose to use them, you’ll find infographic templates are an effective tool to drive traffic, build understanding, and increase sales.Find guidance and specifications pertaining to Accountable Care Organizations (ACOs) applying to and/or participating in the Medicare Shared Savings Program (Shared Savings Program). You can even create your own infographic-just search for infographic elements to find people, animals, sequence, and vehicle designs. INFOGRAPHIC CREATOR ANNUAL REPORT FREEFor personal use, try free infographic templates that cover personal finances and genealogy. Business-related infographic templates in PowerPoint include product roadmaps, resume timelines, process charts, and customer surveys. Find infographic templates for PowerPoint in poster form, on subjects ranging from nutrition to big data to education. There are free infographic templates for a variety of subjects and uses to keep you coming back again and again. With eye-catching visuals and bold colors, these infographic templates increase engagement to help you better connect to your audience. This dynamic assortment of infographic templates is just what you need to make your presentations more persuasive and memorable. Infographic templates bring your subjects to life ![]()
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