Common use of Accountable Entities Clause in Contracts

Accountable Entities. EOHHS has actively pursued the development of certified Accountable Entities, notably through development of the Health System Transformation Project as approved by CMS. The Contractor is required to enter into contracts with EOHHS certified AEs. The specific contracting requirements are set forth in Sections 2.01.01 and 2.08.02. All provisions in this contract pertaining to EOHHS certified Accountable Entities apply to EOHHS certification for certified Comprehensive Accountable Entities. All agreements will be in compliance with EOHHS requirements as set forth in Transitioning to Alternative Payment Methodologies: Requirements for Medicaid Managed Care Partners including: • Attribution requirements • APM/Total Cost of Care (TCOC) requirements, including quality component and Provisions regarding downside risk • Incentive Program requirements During the term of this Agreement EOHHS compliant arrangements with AEs will become an increasingly important component of the Contractor’s contracting requirements. As applicable to the eligible populations, the Contractor’s algorithm for PCP assignment for persons not selecting a PCP must include an EOHHS approved factor for prioritizing PCP assignment to EOHHS certified AEs as set forth in Section 2.05.07 of this amended contract, “Assignment of Primary Care Providers”.