Non-Duplication and Exclusivity of Participation Sample Clauses

Non-Duplication and Exclusivity of Participation. ‌ A. The ACO may not participate in any other Medicare shared savings initiatives, except as otherwise specified by CMS, as described in Appendix R. B. CMS waives the non-duplication requirements under section 1899(b)(4)(A) of the Act and in the implementing regulations at 42 CFR § 425.114(a) and (b) regarding participation in a model tested under section 1115A of the Act that involves shared savings as they apply to Preferred Providers, subject to the conditions and requirements set forth in Appendix R. C. The ACO shall require its Participant Providers and Preferred Providers to comply with Appendix R. The ACO shall not include on its Participant Provider List or its Preferred Provider List any Participant Provider or Preferred Provider that does not comply with the participation overlap provisions set forth in Appendix R.

Non-Duplication and Exclusivity of Participation. ‌ A. The ACO may not participate in any other Medicare shared savings initiatives, except as otherwise specified by CMS, as described in Appendix R. B. CMS waives the non-duplication requirements under section 1899(b)(4)(A) of the Act and in the implementing regulations at 42 CFR § 425.114(a) and (b) regarding participation in a model tested under section 1115A of the Act that involves shared savings as they apply to Preferred Providers, subject to the conditions and requirements set forth in Appendix R. C. The ACO shall require its Participant Providers and Preferred Providers to comply with Appendix R. The ACO shall not include on its Participant Provider List or its Preferred Provider List any Participant Provider or Preferred Provider that does not comply with the participation overlap provisions set forth in Appendix R. ARTICLE V Beneficiary Alignment, Beneficiary Engagement, and Beneficiary Protections Section 5.01 Beneficiary Alignment‌‌‌ A. CMS shall, according to the methodology set forth in Appendix A and the precedence rules described in Section 5.01.C, use both Voluntary Alignment and Claims-Based Alignment to align Beneficiaries to the ACO for each Performance Year. B. CMS will align Beneficiaries to the ACO prospectively, prior to the start of each Performance Year, except as described in Section IV.C of Appendix A. If the ACO selects Prospective Plus Alignment as the ACO’s Alignment Methodology for a Performance Year as described in Section 8.01, CMS will also align Beneficiaries to the ACO using Voluntary Alignment prior to the start of the second through fourth calendar quarters of the Performance Year as described in Section 5.02.B using MVA and, if the ACO selects to participate in SVA for the Performance Year as described in Section 8.01 and submits an SVA List for the relevant quarter as described in Appendix C, using SVA.

Non-Duplication and Exclusivity of Participation. A. The DCE and its DC Participant Providers may not participate in any other Medicare shared savings initiatives, as described in Appendix R. B. CMS waives the non-duplication requirements under section 1899(b)(4)(A) of the Act and in the implementing regulations at 42 CFR § 425.114(a) regarding participation in a model tested under section 1115A of the Act that involves shared savings as they apply to Preferred Providers, subject to the conditions and requirements set forth in Appendix R. C. The DCE and its DC Participant Providers and Preferred Providers are bound by the participation overlap provisions set forth in Appendix R.

Non-Duplication and Exclusivity of Participation. ‌ A. The DCE may not participate in any other Medicare shared savings initiatives, as described in Appendix R. A DC Participant Provider may not participate in another Medicare shared savings initiative, except as expressly permitted by CMS, as described in Appendix R. B. CMS waives the non-duplication requirements under section 1899(b)(4)(A) of the Act and in the implementing regulations at 42 CFR § 425.114(a) and (b) regarding participation in a model tested under section 1115A of the Act that involves shared savings as they apply to Preferred Providers, subject to the conditions and requirements set forth in Appendix R. C. The DCE and its DC Participant Providers and Preferred Providers are bound by the participation overlap provisions set forth in Appendix R.