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Get Request To Modify Participant And/or System Owner Form
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How to fill out the Request To Modify Participant And/or System Owner Form online
This guide provides clear and detailed instructions on how to complete the Request To Modify Participant And/or System Owner Form online. By following these steps, you will ensure all necessary information is accurately submitted.
Follow the steps to successfully fill out the form.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- In Section 1, provide the agreement information by selecting the relevant agreement type and entering the corresponding agreement number.
- Indicate the request to amend the participation agreement by checking the appropriate boxes for changing the participant or the qualifying system owner.
- In Section 2, enter the required information for both the current participant and the new participant, including names and signatures.
- In Section 3, fill in details for the current qualifying system owner and the new qualifying system owner, ensuring all signatures are obtained.
- In Section 4, the power distributor must confirm the acceptance of the qualifying system form by signing and providing the necessary details.
- Finally, in Section 5, allow for the Tennessee Valley Authority representative to review and either approve or deny the request, along with any comments or reasons for denial.
- Make sure to save your changes, download, print, or share the completed form as required.
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Unlike ACO REACH which was designed with health equity built directly into the model's structure, the MSSP—CMS's flagship accountable care program—has not historically accounted for health equity, to the program's detriment.
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