
ĬMS provides ACOs with information on their assigned population and financial performance at the start of the agreement period and routinely during the performance year. To participate in the Shared Savings Program, each ACO must have a compliance plan in accordance with 42 CFR § 425.300. Appendix G: Repayment Mechanism Checklist (Updated ) (PDF).Appendix F: ACO-Initiated Request to Edit Repayment Mechanism Task in ACO-MS (Updated ) (DOCX).Appendix E: Repayment Mechanism Documentation Cover Sheet (Updated ) (DOCX).Appendix D: Surety Bond Sample (Updated ) (DOCX).Appendix C: Letter of Credit Sample (Updated ) (DOCX).Appendix B: Escrow Agreement Amendment Sample (Updated (DOCX).Appendix A: Escrow Agreement Template (Updated ) (PDF).


The Centers for Medicare & Medicaid Services (CMS) strongly encourages applicants to submit preliminary repayment mechanism documentation in Microsoft Word format for feedback. Repayment Mechanism Arrangements GuidanceĪCOs electing to participate in two-sided risk must have the ability to pay all shared losses for which they may be liable.

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