Application Steps & Timeline*

*Dates are subject to change. Additional resources will be available soon.

June 1, 2022 – June 7, 2022 at 12:00 p.m. (noon) Eastern Time (ET)	Complete the NOIA: Gain access to the ACO Management System (ACO-MS) Resources: How to Submit a NOIA in ACO-MS (Updated 5/18/2022) (PDF) ACO-MS: Initial Access Information (Updated 10/1/2021) (PDF)
June 8, 2022 – June 29, 2022 at 12:00 p.m. (noon) ET	Submit Phase 1 of the application: ACO Participant List If applicable, SNF 3-Day Rule Waiver application and SNF Affiliate List Submit executed agreements, and attestations Form CMS-588 Electronic Funds Transfer (EFT) Authorization Agreement Repayment mechanism documentation Resources: Key Application Actions and Deadline (Updated 5/18/2022) (PDF) Adding ACO Participants & SNF Affiliates in ACO-MS (Updated 5/18/2022) (PDF) Submitting Change Requests in ACO-MS (Updated 5/18/2022) (PDF) Application Toolkit
July 22, 2022 – August 4, 2022 at 12:00 p.m. (noon) ET	Respond to the first Phase 1 request for information (RFI-1): Last opportunity to add ACO participants and/or SNF affiliates Resource: Requests for Information in ACO-MS (Updated 5/18/2022) (PDF)
August 26, 2022 –September 9, 2022 at 12:00 p.m. (noon) ET	Respond to Phase 1 RFI-2: Last opportunity to remove any ACO participants and/or SNF affiliates Final repayment mechanism amount provided to ACOs on August 26, 2022 Final repayment mechanism documentation due to CMS on September 9, 2022
October 12, 2022	ACO Participant List and SNF Affiliate List Dispositions
October 13, 2022 – October 20, 2022 at 12:00 p.m. (noon) ET	Submit Phase 2 of the application: Governing body & organizational chart If applicable, BIP application
October 28, 2022 – November 3, 2022 at 12:00 p.m. (noon) ET	Respond to Phase 2 RFI
November 17, 2022	Final Application Dispositions
December 2, 2022 – December 8, 2022 at 12:00 p.m. (noon) ET	ACO Signing Event including repayment mechanisms   Resources: ACO Signing Event Instructions (PDF) How to Review and Certify the ACO Participant List and ACO Provider/Supplier List in ACO-MS (PDF) ACO Provider/Supplier List in ACO-MS and Managing the ACO Provider/Supplier List in ACO-MS (PDF) ACO Provider/Supplier Bulk Upload in ACO-MS (PDF)

Sample Applications*

• Initial Application (PDF): 
  • An ACO that is applying to participate in the Shared Savings Program that is not considered to have previously participated in the Shared Savings Program.
  • An ACO that either previously participated in the Shared Savings Program and is applying to participate in the Shared Savings Program after a break in participation or that CMS determines to be re-entering because greater than 50 percent of their ACO participants have prior participation in the same Shared Savings Program ACO in any of the five most recent past performance years (re-entering ACO).
• Renewal/Early Renewal Application (PDF): 
  • An ACO currently participating in the Shared Savings Program that is in the final performance year of its most recent ACO Participation Agreement and intends to renew its participation for a new agreement period starting on January 1^st of the upcoming calendar year without a break in participation.
  • An ACO currently participating in the Shared Savings Program that elects to voluntarily terminate its ACO Participation Agreement with an effective date of termination of December 31^st of the current performance year and intends to apply for a new agreement period starting on January 1^st of the upcoming calendar year without a break in participation.
• SNF 3-Day Rule Waiver Application (PDF):
  • An ACO applying for approval of a SNF 3-Day Rule Waiver. Available for ACOs applying to or currently participating in the Shared Savings Program under Levels C, D, or E of the BASIC track, or the ENHANCED track.
• BIP Application (PDF):
  •  An ACO applying to establish and operate a BIP. Available for ACOs applying to or currently participating in the Shared Savings Program under Levels C, D, or E of the BASIC track, or the ENHANCED track.

 

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