Common use of CMS Evaluation Clause in Contracts

CMS Evaluation. i. CMS will evaluate the Model in accordance with Section 1115A(b)(4) of the Act. ii. The State must cooperate with CMS and/or CMS’ designee(s) and provide all data that the State is required to provide under the provisions of Section 15 of this Agreement or that CMS may request from the State to evaluate and monitor the Model in accordance with applicable law and this Agreement. Such data may include, but would not be limited to, beneficiary identifiable information that is needed to carry out CMS’ evaluation and monitoring of this Model and the terms of any arrangements related to rate- or budget-setting or payment entered into between the State, Participant Hospitals, and Participant Primary Care Practices prior to or during the Model. iii. The State must ensure that all necessary written agreements and/or legal relationships have been secured with any relevant entities, agents, or partners and include terms expressly identifying the means by which CMS and CMS’ designee(s) are entitled to access individually identifiable data to carry out evaluation and monitoring activities. See 42 C.F.R. § 403.1110(b). iv. CMS will share Model data, documents, and other information with its designees for evaluation, monitoring, oversight, and other purposes, in accordance with applicable law. CMS will use any data obtained pursuant to the Model to publicly disseminate de-identified quantitative and qualitative results, in accordance with applicable law.