stack/dev/vendor/bcda-app/conf/configs/prod.yml

aco_config:
    # Kidney Care Choices (KCC) Model - Comprehensive Kidney Care Contracting
    - model: 'CKCC' # Active, managed by 4i
      name_pattern: '^C\d{4}$'
      performance_year_transition: '01/01'
      lookback_period: 2
      data:
        - 'adjudicated'
    # Kidney Care Choices (KCC) Model - Kidney Care First
    - model: 'KCF' # Ended, managed by 4i
      name_pattern: '^K\d{4}$'
      performance_year_transition: '01/01'
      lookback_period: 2
      data:
        - 'adjudicated'
    # ACO REACH Model, formerly Global and Professional Direct Contracting Model (GPDC) Model
    - model: 'DC' # Active, managed by 4i
      name_pattern: '^D\d{4}$'
      performance_year_transition: '04/01'
      lookback_period: 3
      data:
        - 'partially-adjudicated'
        - 'adjudicated'
    # Medicare Shared Savings Program
    - model: 'SSP' # Active, managed by ACO-MS
      name_pattern: '^A\d{4}$'
      data:
        - 'adjudicated'
    # Comprehensive ESRD Care (CEC) Model
    - model: 'CEC' # Ended
      name_pattern: '^E\d{4}$'
      data:
        - 'adjudicated'
    # Next Generation ACO Model
    - model: 'NGACO' # Ended
      name_pattern: '^V\d{3}$'
      data:
        - 'adjudicated'
    # A config for BCDA's test entities
    - model: 'TEST' # Active, managed by BCDA Admin
      name_pattern: '^TEST\d{3}$'
      data:
        - 'adjudicated'
        - 'partially-adjudicated'
    # Maryland Total Cost of Care (MD TCoC) Model
    - model: 'TCOCMD' # Ended, managed by BCDA Admin
      name_pattern: '^CT\d{4,6}$'
      data:
        - 'adjudicated'
        - 'partially-adjudicated'
      attribution_file:
        file_type: 'csv'
        name_pattern: '(P|T)\.(PCPB)\.(M)([0-9][0-9])(\d{2})\.(D\d{6}\.T\d{6})\d'
        model_identifier: 'PCPB'
        file_performance_year: 4
        file_date: 6
        metadata_matches: 7
      ignore_suppressions: true
    # CMS Data Aggregation Contract
    - model: 'CDAC' # Ended, managed by IHP
      name_pattern: '^DA\d{4}$'
      data:
        - 'adjudicated'
        - 'partially-adjudicated'
      attribution_file:
        file_type: 'csv'
        name_pattern: '(P|T)\.(BCD)\.(DA\d{4}).(MBIY)(\d{2})\.(D\d{6}\.T\d{6})\d'
        model_identifier: 'BCD'
        file_performance_year: 5
        file_date: 6
        metadata_matches: 7
    # GUIDE (Guiding an Improved Dementia Experience) Model
    - model: 'GUIDE' # Active, managed by IHP
      name_pattern: '^GUIDE-\d{4}$'
      data:
        - 'adjudicated'
      attribution_file:
        file_type: 'csv'
        name_pattern: '(P|T)\.(GUIDE)\.(GUIDE-)(\d{4})\.(Y)(\d{2})\.(D\d{6}\.T\d{6})\d'
        model_identifier: 'GUIDE'
        file_performance_year: 6
        file_date: 7
        metadata_matches: 8
    # ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) Model
    - model: 'ACCESS' # Active, managed by IHP
      name_pattern: '^ACCES\d{5}$' # only one 's' due to character limits
      lookback_period: 3
      data:
        - 'adjudicated'
      attribution_file:
        file_type: 'csv'
        name_pattern: '(P|T)\.(ACCESS)\.(ACCES\d{5})\.(Y)(\d{2})\.(D\d{6}\.T\d{6})\d'
        model_identifier: 'ACCESS'
        file_performance_year: 5
        file_date: 6
        metadata_matches: 7
    # Increasing Organ Transplant Access (IOTA) Model
    - model: 'IOTA' # Active, managed via 4i
      name_pattern: '^IOTA\d{3}$'
      data:
        - 'adjudicated'
        - 'partially-adjudicated'
rate_limit_config:
  all: true
  acos: []
v1_v2_deny_regexes:
  - '^IOTA\d{3}'
  - '^ACCES\d{5}$'
  - '^GUIDE-\d{4}$'
v3_no_partial_claims_models:
  - 'GUIDE'