Application Types & Timeline

Application Timeline*

Currently participating ACOs that are eligible may apply for a Skilled Nursing Facility (SNF) 3-Day Rule Waiver, and/or to operate a Beneficiary Incentive Program (BIP) and make other participation changes for Performance Year (PY) 2021 following the schedule below; including the new participation options outlined in the Interim Final Rule Announcing Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency (PDF), issued April 30, 2020: 

  • ACOs may voluntarily elect to extend their agreement period for an optional fourth performance year for ACOs whose participation agreements are scheduled to end December 31, 2020.
  • ACOs may voluntarily elect to maintain their current level under the BASIC track for PY 2021 or transition to a higher level within the BASIC track’s glide path.
  • The anticipated final date to make these elections is September 22, 2020.
Table with 2 columns: ACO Action and ACO Response Period. The ACO response period for the Voluntary Election and Initial Change Request Submission is June 18 to July 20, 2020. For Request for Information 1 it is August 11 to August 24, 2020. Request for Information 2 is September 16 to September 22, 2020. Final Disposition is October 20, 2020. Annual Certification is October 27 to November 9, 2020. All responses are due at 12:00 p.m. (noon) Eastern Time on the final day. Dates are subject to change.

ACOs can access additional information in the ACO Management System (ACO-MS) Knowledge Library

Sample Applications

  • Initial Application (PDF): Available for ACOs not currently participating in the Shared Savings Program (initial and re-entering applicants). The sample initial and renewal/early renewal applications for the January 1, 2020 application submission are for informational purposes only. They will be updated for the next application submission period.

  • Renewal/Early Renewal Application (PDF): Available for ACOs applying to continue their participation in the Shared Savings Program without interruption, which includes ACOs that need to enter a new agreement period because their current ACO Participation Agreement is expiring, as well as ACOs that voluntarily terminate their current ACO Participation Agreement and are applying to immediately enter a new agreement period (early renewal). The sample initial and renewal/early renewal applications for the January 1, 2020 application submission are for informational purposes only. They will be updated for the next application submission period.

  • SNF 3-Day Rule Waiver Application (PDF): An additional application available for ACOs applying to participate in the Shared Savings Program Levels C, D, or E of the BASIC track or the ENHANCED track, or existing Shared Savings Program ACOs currently participating in the ENHANCED track (formerly known as Track 3), the Medicare ACO Track 1+ Model, Levels C, D, or E of the BASIC Track or entering Levels C, D, or E of the BASIC track. 

  • BIP Application (PDF): An additional application available for ACOs applying to participate in the Shared  Savings Program Levels C, D, or E of the BASIC track or the ENHANCED track, or existing Shared Savings Program ACOs currently participating in the ENHANCED track, Track 2, Levels C, D, or E of the BASIC track, or entering Levels C, D, or E of the BASIC track.

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Page Last Modified:
09/01/2020 08:58 AM