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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 and submit a Notice of Intent Apply (NOIA) and 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 Website to help complete your application.  The Regulations and guidance will offer more information about the program requirements, which may help with your application responses. 

Application Cycle: Deadlines to Apply/Renew for January 1, 2017 Program Start Date

Notice of Intent to Apply (NOIA) Process Deadlines
NOIA Memo Posted to CMS Website (provides detailed information on the requirements for submitting a NOIA) April 1, 2016
NOIA Submission Period May 2, 2016 – May 31, 2016 "Now Open"
NOIA Deadline May 31, 2016, at 5:00 p.m. Eastern Time
CMS System User ID Forms Submission Period (new users only) May 5, 2016 – June 3, 2016
 
Application Process Deadlines
2017 Application Form Posted to CMS Website (sample only for initial, renewal and Skilled Nursing Facility (SNF) 3-Day Waiver* applications) Spring 2016
Application Submission Period (for initial, renewal and SNF 3-Day Waiver* applications) July 1, 2016 – July 29, 2016
Application Deadline (for initial, renewal and SNF 3-Day Waiver* applications) July 29, 2016, at 5:00 p.m. Eastern Time
Application Approval or Denial Decision Sent to Applicants Fall 2016
Reconsideration review deadline 15 Days from Notice of Denial

*Note: The SNF 3-Day Waiver application is available to initial applicants, existing ACOs requesting to renew their agreement, and existing ACOs.  Your ACO must be applying for the two-sided risk model under Track 3 or already in Track 3 to be eligible to apply for the SNF 3-Day Waiver.

Application Steps to Complete for January 1, 2017 Start Date

Step 1: Submit a Notice of Intent to Apply (NOIA) 

Each ACO applicant must submit a NOIA 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 NOIA. See the NOIA Memo which provides detailed information on NOIA requirements for initial applicants and ACOs planning to renew their agreement to participate in the Shared Savings Program for a subsequent agreement period.

New ACOs will complete the online NOIA Questionnaire is now open for an Initial Application and SNF 3-Day Waiver Application.

ACOs currently participating in the program will submit their NOIA through the Health Plan Management Systems (HPMS) for a Renewal Application and SNF 3-Day Waiver Application. The NOIA submission period is now open.

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

Complete this step after you receive your NOIA confirmation notice from CMS.  Your NOIA confirmation notice will include instructions on how to request a CMS User ID.  Refer to the Application Cycle table above for dates and deadlines to submit your CMS User ID requests.

Step 3: Complete Your Application 

Sample Application for Initial Applicants: 2016 Medicare Shared Savings Program Application Form (for new applicants) [PDF, 204KB] (2017 Application Form will be made available in the spring 2016)

Sample Application for Renewing ACOs: 2016 Medicare Shared Savings Program Renewal Application Form (for ACOs renewing their agreement with the Shared Savings Program only) - Revised [PDF, 360KB]   (2017 Application Form will be made available in the spring 2016) 

Sample 2017 SNF 3-Day Waiver Application: Will be made available in the spring of 2016.

You must submit your application online through HPMS.  The information posted above is for reference only.  Refer to the Application Cycle table above for the dates and deadlines to submit your application.

Application Toolkit 

The 2016 Toolkit is made available to applicants to complete their Medicare Shared Savings Program Applications.

       The 2017 Toolkit is coming soon.  In the meantime, the 2016 Toolkit is available for your reference only.

Shared Savings Program Application Teleconferences and Events

Please see the Shared Savings Program Applications Teleconferences and Events  page for a history of teleconferences held to date and in prior program years, 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.

Who to Contact for Assistance

Visit this page frequently for updated information and materials.