info for organizations that are not SSP ACOs

[Pete Briggs]

It appears that BCDA is only applicable to SSP ACOs, i.e., if we're working with an organization that is not an SSP ACO, then we have no way of accessing their claims data, correct? If that is correct, is there a non-BCDA option?

Thanks,

Pete 

[Liani Lye]

Hello Pete,

Thanks for your question! 

BCDA is currently a pilot program; at this point CMS is focused on meeting the needs of SSP ACOs so that they can retrieve Medicare Part A, B, and D claims data for their assignable or prospectively assigned beneficiaries. 

At the same time, we invite members of all ACOs and their vendor partners to visit sandbox.bcda.cms.gov, which has synthetic beneficiary data (no PII/PHI), and share their feedback with us. We are looking closely at engaging with and getting feedback from the community specifically from additional non-SSP models later this year. If you have any other questions, please let us know.

Thank you again!

All my best,
Liani

-- 

Liani Lye
Community Manager

Beneficiary Claims Data API

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