Common use of Precedence Rules Clause in Contracts

Precedence Rules. 1. CMS shall establish precedence rules to govern the order in which Beneficiary alignment is conducted across Claims-Based Alignment, SVA, and MVA under the Model. CMS will not align a Beneficiary to the ACO for the Performance Year if the Beneficiary is aligned, assigned, or attributed to an entity participating in another shared savings initiative, or an entity in another model currently tested under the authority of section 1115A of the Act for which beneficiary overlap with the Model is prohibited for the Performance Year, except as otherwise specified by CMS.

Appears in 5 contracts

Samples: Participation Agreement, Participation Agreement, Participation Agreement

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