Requirement to Register

(1) Registration Criteria. Subject to and in accordance with the provisions of 958 CMR 6.03 (2), (3), and (4), a Provider Organization that meets one or both of the following Registration criteria shall register with the MA-RPO Program: (a) a Provider Organization that negotiates, represents, or otherwise acts to establish contracts for the payment of Health Care Services with Payers on behalf of one or more Providers or Provider Organizations, which may include itself, that collectively: 1. received $25,000,000 or more in Net Patient Service Revenue from Payers in the prior Fiscal Year; and 2. had a Patient Panel of more than 15,000; (b) a Risk-bearing Provider Organization. (2) A Provider Organization that meets one or both of the Registration criteria shall meet its Registration and reporting obligations through the submission byits Uppermost Corporate Parent of an Annual Filing. (3) At the discretion of the MA-RPO Program, a Provider Organization that meets one or both of the Registration criteria may meet its Registration and reporting obligations through the submission of an abbreviated Annual Filing in a format prescribed by the MA-RPO Program if another Registered Provider Organization negotiates, represents, or otherwise acts to establish contracts with Payers for the payment of Health Care Services on its behalf. (4) A Provider Organization that meets the Registration criteria defined in 958 CMR 6.03(1)(a) shall register if it negotiates, represents, or otherwise acts to establish contracts with Payers on behalf of one or more Acute Hospitals, physician groups, or any other Health Care Provider type specified in the most recently published Data Submission Manual.