Care Partner List definition

Care Partner List means the list, as may be updated in accordance with section 5.3, of Care Partners and Downstream Care Partners approved by CMS to participate in the CRP.

Care Partner List means the list, as may be updated, of Care Partners and Downstream Care Partners approved by CMS to participate in the CRP.

Examples of Care Partner List in a sentence

• Any such requests shall be made in accordance with the procedures set forth in section 5.2, except that CMS need not conduct a Program Integrity Screening in the case of a request to make a late addition to the certified Care Partner List or a request to increase the number of CRP Tracks in which a Care Partner or Downstream Care Partner is participating.

• The proposed Care Partner List must identify each proposed Care Partner by name, NPI, billing TIN, and such other information as may be specified by CMS, and must specify each CRP Track in which the proposed Care Partner is expected to participate.

• If any proposed Care Partner is a PGP, the proposed Care Partner List must identify each proposed Downstream Care Partner by the PGP name, billing TIN of the PGP, and the name and NPI of each proposed Downstream Care Partner who is a PGP Member of that PGP.

• The removal of the individual or entity from the Care Partner List or from the relevant CRP Track will be effective on the date the individual or entity ceased to be a Care Partner or Downstream Care Partner, or ceased to participate in the relevant CRP Track.

• Except at such times and in such manner as CMS may permit, the Hospital shall not request the addition of any individual or entity to the Care Partner List or increase the number of CRP Tracks in which a Care Partner participates.

• Any late addition to a certified Care Partner List will become effective on the date the request is approved by CMS.

• If a Care Partner or Downstream Care Partner is excluded from participation in Medicare, Medicaid, or any federal health care program, the Care Partner or Downstream Care Partner is removed from the Care Partner List effective no later than the effective date of exclusion.

• For purposes of this paragraph, a request to make a “late addition” to the certified Care Partner List is a request to add an individual or entity that appeared on the CMS-approved Care Partner List submitted to the Hospital by CMS pursuant to section 5.2(b) but did not appear on the Care Partner List that was certified by the Hospital pursuant to section 5.2(c).

• If a Care Partner or Downstream Care Partner is excluded from participation in Medicare, Medicaid, or any other federal health care program, the Care Partner or Downstream Care Partner is removed from the Care Partner List effective no later than the effective date of exclusion.

• For purposes of this paragraph, a request to make a “late addition” to the certified Care Partner List is a request to add an individual or entity that appeared on the CMS approved Care Partner List submitted to the Hospital by CMS pursuant to section 5.2(b) but did not appear on the Care Partner List that was certified by the Hospital pursuant to section 5.2(c).