Practice Changes Notification

Notifying the ACO of Changes in Your Practice

Hiring a new physician? Opening a new clinic location? 

Certain changes to your practice need to be communicated to the ACO per CMS requirements. The ACO will do this for you. Here’s what we need to know.

Please contact your UC San Diego Health Accountable Care Network representative or email within 3 days of any of the following events:

  • Change to your legal business name (LBN) in PECOS
  • Practice merger or acquisition of a TIN
  • Change in your practice location or a new location
  • New provider in your practice
  • Departure of a provider from your practice
  • Malpractice claims, suspensions of licenses (CA, DEA, hospital privileges, etc.), or other sanctions brought against your practice or providers
1.1 Notice of Specified Events. Provider shall advise Network, and Provider shall require each Participating Provider to advise Provider, as promptly as reasonably feasible (but in no event later than three (3) business days) of the following events as to a Participating Provider:
  • (a) filing of a malpractice case against Provider or any Participating Provider, as applicable, and each settlement or judgment of a malpractice claim entered into by Provider or Participating Provider, as applicable;
  • (b) the revocation, suspension or restriction of the Drug Enforcement Administration (“DEA”) number;
  • (c) a voluntary or involuntary diminishment, suspension, termination or relinquishing of licenses;
  • (d) any voluntary or involuntary diminishment, suspension, termination or relinquishing of hospital privileges;
  • (e) the initiation of any potential sanction proceeding by a state licensing authority, state health care program, federal health care program, or governmental body or certification board or body;
  • (f) the initiation of a criminal proceeding of felony or crime involving moral turpitude;
  • (g) any proceeding that could potentially lead to a Participating Provider being precluded from participating in Medicare;
  • or (h) any report concerning such Participating Provider made to the National Provider Data Bank.

In addition, it is important to let us know if there are any changes in your designated ACO contacts, namely your:

  • Care management contact
  • Practice manager
  • Quality lead contact

Thanks for your understanding and timely communication with us about these changes.