№ files_lp_4_process_1_31531
Administrative form outlining requirements and procedures for payer-initiated submissions to CMS for determining eligibility of payment arrangements as Other Payer Advanced Alternative Payment Models under federal regulation
Program: Quality Payment Program
Organizing Body: Centers for Medicare & Medicaid Services (CMS)
Country: United States
Legal Basis: 42 CFR § 414.1420
Document Type: Administrative submission form
Form Type: Payer Initiated Submission Form
Purpose: Determination of Other Payer Advanced Alternative Payment Models (APMs)
Applicable Payers: State Medicaid Agencies, Medicare Health Plans, Commercial or Private Payers
Submission Method: Electronic submission
Sections: Payer Identifying Information; Payment Arrangement Information; Supporting Documentation; Certification Statement
Relevant Programs: Medicaid (Title XIX), Medicare Advantage, Commercial Health Plans
Submission Deadlines: April 1 (Medicaid); Medicare Advantage bid deadline (Medicare); June 1 (Commercial/Private)
Review Process: CMS evaluation with possible request for additional information within 15 business days
Outcome: Determination of APM status, final and not subject to reconsideration
Related System: Health Plan Management System (HPMS)
Supporting Materials: Contracts, agreements, and related documentation
Performance Period Reference: Year prior to QP Performance Period
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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