A beneficiary who received medical services prior to 2023 from a primary care provider in a healthcare center that is in-network or part of the ABC Network’s ACO Reach Program would be aligned with ABC Network. The goal of this program is to promote health equity, improve provider-beneficiary relationships, and protect beneficiaries’ health through transparency.

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

In order to be aligned to an ABC Network’s ACO Reach 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 ACO Reach Program
5. Medicare is not considered a secondary medical payor

Converting the beneficiary from Aligned to a Voluntary Aligned Beneficiary provides additional benefits of care. Voluntary Alignment 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 Alignment Beneficiary, a beneficiary must Voluntarily Alignment with their primary provider through the CMS website MyMedicare.gov by logging in and selecting their primary clinician. A Voluntary Alignment 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.