NewsPolicy & Law

CMS Releases Medicare Shared Savings Application

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After the anncounement of the final rule on 10/20, the Center for Medicare & Medicaid (CMS) has released the 2012 application for their Medicare Shared Savi

After the anncounement of the final rule on 10/20, the Center for Medicare & Medicaid (CMS) has released the 2012 application for their Medicare Shared Savings program. Accountable Care Organizations (ACO) that are interested have the option of two start dates of April 1, 2012 and July 1, 2012.
The following is the outline steps to the Medicare Shared Savings Program Application Process
Step 1: Submitting the NOI is the first step in our application process.
If you are interested in applying for participation in the Medicare Shared Savings Program, please follow the instructions in the Notice of Intent to Apply (NOI) Memo in the Downloads section of this page.
Step 2: Submitting the application and the accompanying required documents is the second step in our application process.
Now available 11/10/11: The Medicare Shared Savings Program Application and accompanying appendices
After submitting an NOI, please follow the instructions in the Medicare Shared Savings Program Application 2012 document to submit your application. An application can be submitted via tracked mail or electronically through the Health Plan Management System (HPMS). The complete application package includes the following documents available in the Downloads section of this page:
Medicare Shared Savings Program Application 2012
Appendix A-Electronic Funds Transfer (EFT) Authorization Agreement (CMS Form 588)
Appendix B-Participant List
Appendix C-Data Use Agreement (DUA)
Appendix D-Application Reference Guide
Refer to the Appendix D-Application Reference Guide document in the Downloads section of this page for further details on how to complete the application.
CMS will be posting a PDF version of the application with fields that can be filled electronically and printed for those who are submitting paper applications.
Application Cycle: Key Dates:
Start DateApril 1, 2012July 1, 2012
2012 applications posted on CMS Web siteFall 2011Fall 2011
NOIs acceptedNov 1, 2011 – Jan 6, 2012Nov 1, 2011 – Feb 17, 2012
CMS User ID forms acceptedNov 9, 2011 – Jan 12, 2012Nov 9, 2011 – Feb 23, 2012
2012 applications acceptedDec 1, 2011 – Jan 20, 2012Mar 1-30, 2012
2012 application approval or denial decisionMarch 16, 2012May 31, 2012
Reconsideration review deadline*March 23, 2012June 15, 2012
* – Date an organization must receive a favorable reconsideration review determination in order to qualify for the start date indicated on the application.
Downloads
ACO NOI Memo-Application [PDF, 199KB]Medicare Shared Savings Program Application 2012 [PDF, 228KB]
Appendix A-Electronic Funds Transfer (EFT) Authorization Agreement (CMS Form 588) [PDF, 104KB]
Appendix B-Participant List [ZIP, 13KB]
Appendix C-Data Use Agreement (DUA) [PDF, 2.06MB]
Appendix D-Application Reference Guide [PDF, 143KB]


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