Accountable Entities

Overview

The RI Executive Office of Health and Human Services (EOHHS), through its contracted Medicaid MCOs, is in the process of designing and implementing an Accountable Entity (AE) Program for the RI Medicaid Program.  The AE Program will provide the framework for transforming the structure of RI Medicaid’s delivery and payment system as envisioned by the Reinventing Medicaid Workgroup that was convened by Governor Raimondo in March 2015. An Accountable Entity (AE) is Medicaid’s version of an Accountable Care Organization (ACO) in which a provider organization is accountable for quality health care, outcomes and the total cost of care of its population.

 AE Program

Accountable Entity CMS Deliverable Documents

CMS Deliverables

CMS Submission Date

AE Roadmap 

April 14, 2017

Certification Standards 

May 1, 2017

Attribution Requirements 

October 1, 2017

Total Cost of Care Requirements  

Incentive Program Funding Requirements 

 

For More Information

AE Program Contacts- Debbie Morales at Deborah.Morales@ohhs.ri.gov and Jennifer Bowdoin at Jennifer.Bowdoin@ohhs.ri.gov 
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