1. Waiver declarations will come into effect with CMS authorization for the waiver or the start date of the participation agreement, depending on what is later. CMS also announced that due to the PHE, it would not accept applications from new ACOs for a launch date of January 1, 2021. However, current ACOs can request a 3-day NSF tax-free declaration, modify existing ACO and/or SNF partner lists, change their assignment methodology and opt for a higher level of risk. NSF applications for three days for subsequent years are valid for January 1 of the benefit year following approval. After approval, a CAO maintains its waiver at 3 days for the remainder of its current participation agreement, unless CMS asserts that it is necessary to revoke the ACO waiver in accordance with the provisions of Directive S. 425.612 (d) (3) or under the terms of the Track 1 model. If CMS or the ACO denounce the ACO`s participation agreement, the waiver ends on the date indicated by CMS in the notice of termination or the date of termination, as indicated in the ACO`s prior written notification to CMS. 425.220. In addition to meeting the specific qualification criteria, ACOs must submit a list of SNF members and present SNF partnership agreements as an example to apply for the waiver. In addition, they must enter into an NWS membership agreement for each proposed partner – complete a table of contracts in the ACO management system – and submit plans for communication, assessment and accreditation of beneficiaries and management of care. SNF subsidiaries must maintain an overall rating of three stars or more on the cmS-Five-Star Quality Rating System in order to participate in ACO models.
The CMS provides the opportunity for CAs with participation contracts that expire on December 31, 2020 to continue the shared insurance program for one year. ACOs that choose this one-year extension remain below their historical benchmark for Performance Year (“PY”) 2021. CMS estimates that ACOs will be able to renew their contracts from June 18 to September 22, 2020. ACOs with current contracts that expire on December 31, 2020 may extend their contracts for one year (2) A care management plan for beneficiaries admitted to an NWS member company. BASIC Track ACOS may choose to maintain their current risk for PY 2021. However, ACOs that choose to maintain their current level for PY 2021 will automatically advance to the level they would have reached without the election in PY 2022. Yes, for example. B, an ACO is currently at level B and opts to maintain level B for PY 2021, this ACO is automatically moved to level D for PY 2022. CMS expects that acOs, which are eligible for an extension of their agreement, will be able to opt for an extension from June 18 to September 22, 2020.
The abandonment of 3 days by the SNF does not limit the choice of a supplier or supplier by a beneficiary. A recipient always has the option of sourcing from a Medicare FFS provider or provider, including an SNF or any other organization that is not a subsidiary of an ACO participating in the shared funds management program.