2012 New York Consolidated Laws
PBH - Public Health
Article 29-E - (2999-N - 2999-R) ACCOUNTABLE CARE ORGANIZATIONS
2999-O - Definitions.

 
    §  2999-o.  Definitions.  As used in this article, the following terms
  shall have the following meanings, unless the context  clearly  requires
  otherwise:
    1.  "Accountable  care organization" or "ACO" means an organization of
  clinically  integrated  health   care   providers   certified   by   the
  commissioner under this article.
    2.  "ACO  participant"  or  "participant" means a health care provider
  that is one of the health care providers that comprise the ACO.
    3. Certificate of authority" or "certificate" means a  certificate  of
  authority issued by the commissioner under this article.
    4. "CMS" means the federal centers for Medicare and Medicaid services.
    5. "CMS regulations" means applicable federal laws and CMS regulations
  and policies.
    6.  "Health  care  provider"  includes but is not limited to an entity
  licensed or certified under article twenty-eight or thirty-six  of  this
  chapter;   an  entity  licensed  or  certified  under  article  sixteen,
  thirty-one or thirty-two of the mental hygiene law;  or  a  health  care
  practitioner  licensed  or  certified under title eight of the education
  law or a lawful combination of such health care practitioners;  and  may
  also  include, to the extent provided by regulation of the commissioner,
  other entities that provide technical  assistance,  information  systems
  and  services,  care  coordination  and  other  services  to health care
  providers and patients participating in an ACO.
    7. "Medicare-only ACO" means an ACO issued a certificate of  authority
  under  subdivision  four of section twenty-nine hundred ninety-nine-p of
  this article.
    8. "Primary care" means the health care  fields  of  family  practice,
  general   pediatrics,  primary  care  internal  medicine,  primary  care
  obstetrics,  or  primary  care  gynecology,  without  regard  to   board
  certification,  provided  by  a  health care provider acting within his,
  her, or its lawful scope of practice.
    9. "Third-party health care payer" has its ordinary meanings  and  may
  include  any  entities  provided  for by regulation of the commissioner,
  which may include an entity such as a pharmacy benefits manager,  fiscal
  administrator,  or administrative services provider that participates in
  the administration of a third-party health care payer system.