Would like to become a Doctors ACO Provider?
To Join Doctors ACO
Please submit the following documents if you want to be part of the 2017 Shared Saving Program:
- ACO Participant TIN Signature Page
- ACO Business Associate Agreement Page
- ACO Participant Billing Through TIN Page
- ACO Participant Questionnaires
Want to resign from an old ACO?
If you’re unsatisfied with the ACO you’re currently in, you can still join Doctors ACO by doing the following:
- Send resignation letter to your ACO Organization
- Submit Mutual Agreement Termination (MTA) form
- File the letter of intent and submit the Doctors ACO joining documents immediately
Would like to become an Affiliate of Doctors ACO?