Special Open Door Forum:
Review of the Advance Payment Accountable Care Organizations (ACO) Model
Thursday, January 5, 2012
2:30pm - 4pm ET
Conference Call Only
Earlier this fall, CMS announced a new Advance Payment Model 
(http://www.innovations.cms.gov/initiatives/aco/advance-payment/index.html) for 
physician-based and rural Accountable Care Organizations (ACOs) participating 
in the Shared Savings Program. ACOs selected to participate in the Advanced 
Payment Model will receive upfront payments that will be recouped from the 
shared savings they earn.
CMS will host a Special Open Door Forum to review the Advance Payment ACO Model 
and the application template. On or before the morning of this Special Open 
Door Forum, a slideshow presentation will be posted to the Advance Payment 
Model ACO Application Information webpage at 
http://www.innovations.cms.gov/initiatives/aco/advance-payment/application-info.html.
A template of the application for the Advance Payment ACO Model is also now 
available on a new Advance Payment Model Application Information webpage 
(http://www.innovations.cms.gov/initiatives/aco/advance-payment/application-info.html).
 The updated information on the webpage explains the application process, 
including how to obtain log-in credentials for the web tool. The template 
released is not an application form that should be filled out. The Innovation 
Center will accept applications through a web tool.
Deadlines for the Advance Payment Model application are as follows:

April 1, 2012 start date:
* Applications accepted between January 3 and February 1, 2012;

July 1, 2012 start date:
* Applications accepted between March 1 and March 30, 2012 (consistent with 
Shared Savings Program).

We look forward to your participation.
Special Open Door Participation Instructions:
Dial: 1-800-837-1935 & Conference ID: 39623933
Note: TTY Communications Relay Services are available for the Hearing Impaired. 
For TTY services dial 7-1-1 or 1-800-855-2880. A Relay Communications Assistant 
will help.
A transcript and audio recording of this Special ODF will be posted to the 
Special Open Door Forum website at 
http://www.cms.gov/OpenDoorForums/05_ODF_SpecialODF.asp and will be accessible 
for downloading beginning on or around Friday, January 13, 2012.

For automatic emails of Open Door Forum schedule updates (E-Mailing list 
subscriptions) and to view Frequently Asked Questions please visit our website 
at http://www.cms.gov/opendoorforums/.

Thank you for your interest in CMS Open Door Forums.
____________________________________________________________________________________________________________________________________________________________________________________________


It's a Busy Time of Year. Make each office visit an opportunity to talk with 
your patients about the importance of getting the seasonal flu vaccination and 
a one-time pneumococcal vaccination. Remember, Medicare pays for these 
vaccinations for all beneficiaries with no co-pay or deductible. The seasonal 
flu and invasive pneumococcal disease kill thousands of people in the United 
States each year, most of them 65 years of age and older. The Centers for 
Disease Control and Prevention (CDC) also recommends that healthcare workers 
and caregivers be vaccinated against the seasonal flu. Protect your patients. 
Protect your family. Protect yourself. Get the Flu Vaccine-Not the Flu.


Remember - The flu vaccine plus its administration are covered Part B benefits. 
 CMS has posted the 2011-2012 seasonal flu vaccine payment limits at 
http://www.CMS.gov/McrPartBDrugAvgSalesPrice/10_VaccinesPricing.asp.  Note that 
the flu vaccine is NOT a Part D-covered drug.

For more information on coverage and billing of the flu vaccine and its 
administration, as well as related educational provider resources, visit 
http://www.CMS.gov/MLNProducts/35_PreventiveServices.asp and 
http://www.cms.gov/immunizations.



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