Program Requirements and Beneficiary Protections

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medicare Program
  6. Medicare Shared Savings Program
  7. Program Requirements and Beneficiary Protections

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Section
425.300

Compliance plan.

Section
425.302

Program requirements for data submission and certifications.

Section
425.304

Beneficiary incentives.

Section
425.305

Other program safeguards.

Section
425.306

Participant agreement and exclusivity of ACO participants.

Section
425.308

Public reporting and transparency.

Section
425.310

Marketing requirements.

Section
425.312

Beneficiary notifications.

Section
425.314

Audits and record retention.

Section
425.315

Reopening determinations of ACO shared savings or shared losses to correct financial reconciliation calculations.

Section
425.316

Monitoring of ACOs.