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DIRECT CONTRACTING ENTITY PARTICIPANT PROVIDER AGREEMENT This Direct Contracting Entity Participant Provider Agreement (Agreement) is by and between (Provider), and Accountable Care Coalition of Direct
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To fill out the direct-contracting-entity-participant-provider-agreement, follow these steps:
02
Obtain a copy of the agreement form from the relevant authority or organization.
03
Read through the agreement carefully and familiarize yourself with its terms and conditions.
04
Provide all the required information, such as your name, contact details, and organization details.
05
Review and understand the specific obligations and responsibilities outlined in the agreement.
06
Sign the agreement, either electronically or physically, as per the instructions provided.
07
Make sure to keep a copy of the signed agreement for your records.
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Submit the agreement to the designated authority or organization as instructed.
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Follow up with the relevant parties to ensure that the agreement has been received and processed successfully.

Who needs direct-contracting-entity-participant-provider-agreement?

01
Direct-contracting-entity-participant-provider-agreement is needed by entities, participants, and providers who are involved in direct contracting arrangements.
02
This agreement is typically required in healthcare or insurance sectors where direct contracting models are utilized.
03
Entities such as accountable care organizations (ACOs) or health insurance companies may need this agreement to establish contractual relationships with participants and service providers.
04
Participants in the direct contracting entity, whether they are individuals or organizations, may also require this agreement to outline their rights and responsibilities.
05
Likewise, providers who offer healthcare services or other related services under the direct contracting arrangement would need this agreement to define their contractual obligations.
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Direct-contracting-entity-participant-provider-agreement is a written agreement between a Direct Contracting Entity (DCE), participant providers, and preferred providers that outlines the terms and conditions of their relationship in the DCE Model.
The DCE is required to file the direct-contracting-entity-participant-provider-agreement with the Centers for Medicare & Medicaid Services (CMS).
Direct-contracting-entity-participant-provider-agreement can be filled out electronically through the CMS online portal or by submitting a physical copy to the CMS office.
The purpose of direct-contracting-entity-participant-provider-agreement is to establish the terms and conditions of participation in the DCE Model, including payment arrangements, quality measures, and reporting requirements.
Direct-contracting-entity-participant-provider-agreement must include the names and contact information of the DCE, participant providers, and preferred providers, as well as the agreed-upon terms and conditions of participation.
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