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Application Types & Timeline

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ACOs may apply to the Shared Savings Program, for a Skilled Nursing Facility (SNF) 3-Day Rule Waiver, and/or to operate a Beneficiary Incentive Program (BIP). The application cycle follows the process outlined below. 

The sample applications for a July 1, 2019 and January 1, 2020 start date provided below are for reference only; all ACOs must apply to the Shared Savings Program through the ACO Management System (ACO-MS).

Sample Applications for July 1, 2019 and January 1, 2020 Start Dates

Initial Application: Available for ACOs not currently participating in the Shared Savings Program (initial and re-entering applicants). Download sample application
Renewal/Early Renewal Application: 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). Download sample application
SNF 3-Day Rule Waiver Application: An additional application available for initial and renewal applicants applying to the Shared Savings Program under Levels C, D, or E of the BASIC track, or the ENHANCED track, as well as ACOs currently participating in the Shared Savings Program under Track 3 (herein referred to as the ENHANCED track) or the Track 1+ Model. Download sample application
BIP Application: An additional application available for initial and renewal applicants applying to the Shared Savings Program under Levels C, D, or E of the BASIC track, or the ENHANCED track, as well as ACOs currently participating in the Shared Savings Program under Track 2 or Track 3 (herein referred to as the ENHANCED track).  Download sample application

 

Application Timelines*

  Step Resources

Step

January 1, 2020 SSP Agreement Start Date July 1, 2019 SSP Agreement Start Date

Additional Materials

Application Timeline Step 1

Step 1:

Complete the Notice of Intent to Apply (NOIA)

June 11, 2019 – June 28, 2019 at 12:00 p.m. (noon) Eastern Time (ET)

January 2, 2019 - January 18, 2019

Step 3 of application timeilne

Step 2:

Submit the application(s)

July 1, 2019 – July 29, 2019 at 12:00 p.m. (noon) ET

January 22, 2019 – February 19, 2019 at 12:00 p.m. (noon) ET

Step 4 of the application timeline

Step 3:

Respond to requests for information (RFIs)

Summer/Fall 2019

(RFI responses are due at 12:00 p.m. (noon) ET on the specified deadline dates)

Spring 2019

(RFI responses are due at 12:00 p.m. (noon) ET on the specified deadline dates)

Step 5 of the application timeline

Step 4:

Sign the agreement

December 2019

June 2019

*Dates are subject to change

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