Limitations on Review. There is no administrative or judicial review under Sections 1869 or 1878 of the Act or otherwise for the following: i. The selection of states, organizations, sites, or participants in the Model and Initiative, including the decision by CMS to terminate this agreement or to require the termination of any individual’s or entity’s status in the Model or Initiative; ii. The elements, parameters, scope, and duration of the Model and the Initiative; iii. The termination or modification of the design and implementation of the Model and/or Initiative under subsection 1115A(b)(3)(B); and iv. Determinations about expansion of the duration and scope of the Model under subsection 1115A(c), including the determination that the Model is not expected to meet criteria described in paragraph (1) or (2) of such subsection.
Appears in 2 contracts
Sources: Vermont All Payer Accountable Care Organization Model Agreement, Vermont All Payer Accountable Care Organization Model Agreement