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We are proposing three new APCM codes that would recognize the resources involved in furnishing ongoing, beneficiary-centered care management services under the broad model of advanced primary care without paying for each activity separately while allowing for flexibility in addressing patient needs

For ACOs under prospective assignment, Medicare FFS beneficiaries are prospectively assigned to an ACO at the beginning of each benchmark or performance year based on the beneficiary's use of primary care services in the most recent 12 or 24 months, as applicable, for which data are available, using the assignment methodology described in 425.402 and 425.404 ( 425.400(a)(3)(i))

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