applicable ACO — U.S. Code definitions

applicable ACO

Defined in 1 place of the United States Code.

The term “applicable ACO” means an ACO participating in a model tested or expanded under section 1315a of this title or under this section—

(i) that operates under a two-sided model—

(I) described in section 425.600(a) of title 42, Code of Federal Regulations; or

(II) tested or expanded under section 1315a of this title; and

(ii) for which Medicare fee-for-service beneficiaries are assigned to the ACO using a prospective assignment method, as determined appropriate by the Secretary.

Source

2018–present 42 U.S.C. § 1395jjjThe Public Health and Welfare · Shared savings program · under this subchapter