Medicare Shared Savings Sample Contracts

MEDICARE SHARED SAVINGS PROGRAM ACCOUNTABLE CARE ORGANIZATION PARTICIPATION AGREEMENT
Medicare Shared Savings • April 5th, 2019

This agreement, upon submission by the ACO of acceptable assurance of compliance with Title VI of the Civil Rights Act of 1964, section 504 of the Rehabilitation Act of 1973 as amended, the Age Discrimination Act of 1975, Title IX of the Education Amendments of 1972, and section 1557 of the Affordable Care Act, and upon CMS’ approval, shall be binding on the ACO.

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MEDICARE SHARED SAVINGS PROGRAM ACCOUNTABLE CARE ORGANIZATION PARTICIPATION AGREEMENT
Medicare Shared Savings • June 27th, 2019

This agreement, upon submission by the ACO of acceptable assurance of compliance with Title VI of the Civil Rights Act of 1964, section 504 of the Rehabilitation Act of 1973 as amended, the Age Discrimination Act of 1975, Title IX of the Education Amendments of 1972, and section 1557 of the Affordable Care Act, and upon CMS’ approval, shall be binding on the ACO.

MEDICARE SHARED SAVINGS PROGRAM ACCOUNTABLE CARE ORGANIZATION PARTICIPATION AGREEMENT
Medicare Shared Savings • June 28th, 2019

This agreement, upon submission by the ACO of acceptable assurance of compliance with Title VI of the Civil Rights Act of 1964, section 504 of the Rehabilitation Act of 1973 as amended, the Age Discrimination Act of 1975, Title IX of the Education Amendments of 1972, and section 1557 of the Affordable Care Act, and upon CMS’ approval, shall be binding on the ACO.

MEDICARE SHARED SAVINGS PROGRAM ACO PARTICIPATING PROVIDER AGREEMENT
Medicare Shared Savings • July 24th, 2016

This AGREEMENT (“Agreement”) is entered into as of the day of , 2016 (the “Effective Date”) by and between Trinity Integrated Care, LLC, a Delaware limited liability company (“Company”), and the entity or individual identified on the signature page hereof (“ACO Participant”), on behalf of itself and, if applicable, those ACO Providers/Suppliers (as hereafter defined) that bill pursuant to a taxpayer identification number assigned to ACO Participant. The only parties to this Agreement are the ACO Participant and the Company.

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