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Application Types & Process

ACOs may apply to the Shared Savings Program, to the Medicare ACO Track 1+ Model (Track 1+ Model), and/or for a Skilled Nursing Facility (SNF) 3-Day Rule Waiver. The application cycle follows the process outlined below. We will update this page in advance of the 2019 application cycle.

The sample documents provided below are for reference only; to apply to the Shared Savings Program, do so through the ACO Management System (ACO-MS).

Application Types

Initial Application: Available for ACOs not currently participating in the Shared Savings Program (initial applicants). Download Sample
Renewal Application: Available for currently participating ACOs with a 2015 start date that intend to renew their participation agreement with CMS (renewal applicants). Download Sample
Track 1+ Model Application: An additional application available for initial and renewal applicants applying to the Shared Savings Program under Track 1 and ACOs currently participating in the Shared Savings Program under Track 1.  Download Sample
SNF 3-Day Rule Waiver Application: An additional application available for initial and renewal applicants applying to the Shared Savings Program under Track 3, ACOs currently participating in the Shared Savings Program under Track 3, and ACOs applying to the Track 1+ Model. Download Sample

 

Application Process

  Step Resources
Application Timeline Step 1

Step 1:

Complete the Notice of Intent to Apply (NOIA)
Step 3 of application timeilne

Step 2:

Submit the application(s)
Step 4 of the application timeline

Step 3:

Respond to requests for information (RFIs)
Step 5 of the application timeline

Step 4:

Sign the agreement

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