Accountable Care Network Resources

Resources for affiliates of the Medicare Shared Savings Program ACO

ACO Processes & Patient Care

Physician Access Services:
Call 855-543-0555 or fax 888-539-8781 for consultations and referrals.


  • ACO Participants & SNFs - Maps and contact information for UC San Diego Health Accountable Care Network participant providers and SNFs

  • SNF Referral: Call 844-827-3264 to refer a patient to a skilled nursing facility.SNF Beneficiary Evaluation, Admission & Care Management Plan (3-Day Waiver) - to transfer a Medicare ACO beneficiary to an affiliated SNF

  • Care Management: Call 844-827-3264 or fax 858-249-0762 for care coordination services and the Population Health Care Team.
    Risk Assessment Tool - to refer high-risk patients to our Population Health Care Team for providers not using Epic.

  • Clinical Protocols - Best practice guidelines that have been developed by our providers

  • Epic Link User Access - Request form for access to Epic Link (including Healthy Planet Link)

  • Notifying the ACO of Changes in Your Practice - Certain changes to your practice need to be communicated to the ACO per CMS requirements. The ACO will do this for you. This page outlines what we need to know.

Communicating with Beneficiaries

Use these materials to assist your Medicare FFS patients with questions about the Medicare ACO.

  • Front Desk Script - To provide to front desk to assist with patient inquiries about the ACO.
  • Beneficiary Posting - English | Spanish - To modify with your clinic’s information and post in your clinic lobby, per CMS requirements.
  • Beneficiary Information Notice - English | Spanish - To provide to Medicare beneficiaries who have questions about Medicare Shared Savings Plan ACOs.

Compliance

  • 2018 compliance education for the Accountable Care Network

  • Participant providers of UC San Diego Health Accountable Care Network can use this compliance form to attest to completing appropriate education and training related to the Network’s compliance program requirements and how to identify, correct and prevent potential fraud, waste and abuse.

  • Please use this online form to report a potential compliance issue.

Other Practice Resources

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  • Performance Measures - access to your practice's performance measures
  •  ACO Training - access to compliance education, reference and quick start guides and other training resources 
  • Events - coming soon

The ACO Provider Toolkit includes background on the ACO, network maps, information on patient risk assessment tools, care coordination services, sample beneficiary communications, documentation on SNFs, quality measures, and more.



MACRA

Find information on Medicare Access and CHIP Reauthorization Act of 2015.