How was I "enrolled" to ABC Network’s MSSP Program?

You are not directly "enrolled" in an MSSP ACO (Medicare Shared Savings Program Accountable Care Organization) as a patient; instead, you are automatically assigned to an ACO if your primary care doctor participates in one, based on where you receive the majority of your primary care services from within the Medicare system. You will typically be notified by your doctor if they are part of an ACO.

Please keep in mind, that in Federally Qualified Health Centers (FQHCs), behavioural health visits are also considered primary care.

The physician providing services to the beneficiary under ABC Network’s MSSP program is therefore accountable for the beneficiary’s care assuring quality health at a reasonable cost.

In order to be assigned to an ABC Network’s MSSP Program provider, a beneficiary should be receiving services from an in-network provider but must also meet the following criteria:

  1. Be enrolled in Medicare Parts A and B
  2. Not be enrolled in a Medicare Advantage or any other Medicare managed care plan
  3. Be a resident of the United States
  4. Reside in a county currently covered by ABC Network's MSSP Program
  5. Medicare is not considered a secondary medical payor

Converting the beneficiary from Assigned to a Voluntary Assigned Beneficiary provides additional benefits of care. Voluntary Assignment will provide beneficiaries accessible information by phone, website, or email about the program or providers.  The communication lines will provide easier access to receive information, request assistance, resolve issues, or log complaints. In order for a beneficiary to convert to a Voluntary Assignment Beneficiary, a beneficiary must Voluntarily Assign with their primary provider through the CMS website MyMedicare.gov by logging in and selecting their primary clinician. A Voluntary Assignment Form may also be requested from the ABC Network’s Member Engagement Center. Selecting a primary clinician doesn’t affect a beneficiary’s benefits or restrict their ability to get care from any doctor or other clinician they choose. Their selection doesn’t change Medicare Part A or Medicare Part B billing and payment policies.