№ files_lp_4_process_3_111145
Guidance bulletin from a government health agency detailing procedures, deadlines, and evaluation criteria for adding or removing primary care providers within Accountable Care Organizations, including continuity of care and contractual obligations.
Year: 2019
Region: Commonwealth of Massachusetts, USA
Topic: Healthcare administration, Accountable Care Organizations
Document Type: Managed Care Entity Bulletin
Organization: Executive Office of Health and Human Services (EOHHS)
Author: Daniel Tsai, Assistant Secretary for MassHealth
Intended Audience: Accountable Care Organizations, Primary Care Providers
Effective Date: January 1, 2020
Submission Deadline: May 30, 2019
Scope: Policy guidance for PCP additions and removals within ACOs
Compliance Requirements: Section 2.2.C.4 of Accountable Care Partnership Contract; Section 2.2.A.5 of Primary Care ACO Contract
Continuity of Care Provisions: 90-day period beginning January 1, 2020, extended network flexibilities, ongoing collaboration with EOHHS
Evaluation Criteria: Impact on members, network adequacy, ACO governance integration, data sharing, prior PCP collaboration, complexity of PCP member population
Price: 8 / 10 USD
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