CMS ACO Agreement
Summary Description
Glossary of Terms
Compliance Policies & Procedures
Accounting of Disclosures of Protected Health Information
Beneficiary Financial Incentives for Gifts, Promotions or Rewards
Centers for Medicare & Medicaid Services (CMS) Audit & Monitoring
Code of Conduct
Communication of Regulatory Guidance & Changes
Compliance Guidelines, Reinforcement & Terminations
Compliance Hotline
Compliance Policy & Plan
Conflict of Interest
Designation of Compliance Officer
Individual Right of Access to Protected Health Information
Investigation of Reported Incidents & Complaints
Non-Intimidation & Non-Retaliation
Office of Inspector General/General Services Administration Exclusion Checks
Oversight of Marketing Materials
Personal Representatives of Individuals
Privacy & Security of Beneficiary Data
Privacy Breach Response Plan
Public Reporting
Record Retention Requirements
Reporting Probable Violations of Law
Training & Knowledge Updates
Operations Policies & Procedures
Adding & Removing Participants & Preferred Providers
Beneficiary Discharges & Dismissals
Beneficiary Notifications and Data Sharing Preferences
Beneficiary Rosters
Benefit Enhancements
Governance Structure
Insider Trading
Meeting Minutes
Next Generation Program Waivers
Shared Savings Distributions
Voluntary Alignment
Writing a P&P Using the ACO Policy Guidance Template
Quality and Care Coordination Policies & Procedures
Analytics & Reporting
Beneficiary Education & Self-Management
Beneficiary Engagement & Communication
Beneficiary Risk Identification & Stratification
Care Coordination Program
Medical Records
Medication Reconciliation
Promotion of Evidence-Based Medicine
Provider Access & Availability
Quality Improvement Program
Specialty Referrals
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ACO_WebV323_0420_File and Use Approved Last Updated: April 2020