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How to Apply

The Medicare Shared Savings Program (Shared Savings Program) facilitates coordination and cooperation among healthcare providers to improve the quality of care for Medicare fee-for-service beneficiaries.  Eligible providers and suppliers may participate in the Shared Savings Program by creating or participating in an Accountable Care Organization (ACO.)  The Shared Savings Program rewards ACOs that lower their rate of growth in health care costs while meeting quality performance standards.

You must complete an application to be considered for participation in the Shared Savings Program.  Please review the regulations at 42 CFR Part 425 and the guidance available on our Web site to help complete your application.  The Regulations and guidance will offer more information about the ACO requirements, which may help with your application responses. 

Application Cycle: Deadlines to Apply/Renew for Program Year 2016

Notice of Intent to Apply (NOI) Process Deadlines
NOI Memo Posted to CMS Website April 1, 2015
NOI Questionnaire Posted to CMS Website May 1, 2015
NOI Submission Period May 1, 2015 – May 29, 2015 Now Open
NOI Deadline May 29, 2015 at 8:00 p.m. Eastern Time
CMS User ID Forms Submission Period (new applications only) May 6, 2015 – June 9, 2015

Application Process Deadlines
Sample Applications Posted to CMS Website June 1, 2015
Application Submission Period July 1, 2015 – July 31, 2015
Application Deadline July 31, 2015 at 8:00 p.m. Eastern Time
Application Approval or Denial Decision Sent to Applicants Fall 2015
Reconsideration review deadline 15 Days from Notice of Denial

Shared Savings Program Application Teleconferences and Events

Please see the Shared Savings Program Applications Teleconferences and Events  page for a history of calls held to date including presentation materials and transcripts where available.

Visit this page frequently for updated information and materials. 

Subscribe to the weekly MLN Connects Provider eNews to receive announcements for the Shared Savings Program, including upcoming MLN Connects Calls on the application process. Past issues of MLN Connects Provider eNews can be found at eNewsArchive

Steps to the Shared Savings Program Application Process

Step 1: Submit a Notice of Intent to Apply   NOI Memo [PDF, 214KB]

Each ACO applicant must submit a Notice to Apply (NOI) to be eligible to submit an application for the Shared Savings Program. Refer to the Application Cycle Table above for dates and deadlines to submit the NOI. See the NOI Memo [PDF, 214KB] which provides detailed information on NOI requirements for new applicants and ACOs wishing to renew their agreement to participate in the Shared Savings Program for their next agreement period.

New Applicants will complete the online NOI Web Form.  Only renewing ACOs will submit their NOI through the Health Plan Management System (HPMS).  New applicants must use the online form.

The NOI submission period for a January 1, 2016, Shared Savings Program start date is now open from May 1, 2015 to May 29, 2015 at 8pm Eastern Time. We will not accept late submissions.

Step 2: Get a CMS User ID to Submit Your Application

Complete this step after you receive your CMS NOI confirmation notice.  Your NOI confirmation notice will include instructions on how to get a CMS User ID.  Refer to the Application Deadline Dates  table for the dates we will accept CMS User ID applications.

Step 3: Complete Your Application

You must submit your application online through HPMS.  The information posted below is for reference only.  Refer to the Application Deadline Dates table for the dates we will accept applications.

Who to Contact for Assistance

Visit this page frequently for updated information and materials.