Voluntary Alignment Form
Choosing Your Primary Clinician
Primary Care Physician
Medicare has started an initiative where health care providers who share a common set of goals aimed at improving patient care can work together more effectively. This initiative brings together health care professionals in a Direct Contracting Entity (DCE), to work together with Medicare to give you more coordinated care and services.
You may have received notification that your doctor is part of Auxilium Health Network DCE. Your doctor or other health care professional thinks that you might benefit from care coordination and preventive services offered by Auxilium Health Network DCE.
You must align your care through CMS to ensure that we have you registered with the correct medical care professional.
You can use this form to confirm your doctor or other health care professional you see. Routine care can include regular care and check-ups you get from a doctor or other health care professional and care for other chronic health problems, such as asthma, diabetes, and hypertension.
Alternatively, instead of returning this form we have attached here, you can also log into myMedicare.gov and select your main doctor or other health care professional. To align to the correct care giver.
Your benefits will NOT change, and you can visit any doctor, other health care professional, or hospital.
Whether or not you complete this form or select a doctor or other health care professional through MyMedicare.gov, you remain eligible to receive the same Medicare benefits and you still have the right to use any doctor, other health care professional, or hospital that accepts Medicare, at any time. If you have questions, feel free to ask your doctor or other health care professional, call Auxilium Health Network, DCE at (323) 694-6732 or call Medicare at 1-800-MEDICARE (1-800-633-4227) to ask about DCEs. TTY users should call 1-877-486-2048.
Directions for align via www.MyMedicare.gov
By choosing a primary clinician on MyMedicare.gov, you give them access to tools or services that are available only to patients of health care professionals participating in a Direct Contracting Entities or other Medicare alternative payment models.