• Skip to main content
  • Skip to secondary menu
  • Skip to primary sidebar
  • Skip to secondary sidebar
  • Skip to footer

  • Opinion
  • Health IT
    • Behavioral Health
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Patient Engagement
    • Population Health Management
    • Revenue Cycle Management
    • Social Determinants of Health
  • Digital Health
    • AI
    • Blockchain
    • Precision Medicine
    • Telehealth
    • Wearables
  • Life Sciences
  • Investments
  • M&A
  • Value-based Care
    • Accountable Care (ACOs)
    • Medicare Advantage

CMS releases Medicare Shared Savings application

by Fred Pennic 11/14/2011 Leave a Comment

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print

After the anncounement of the final rule on 10/20, the Center for Medicare & Medicaid (CMS) has released the 2012 application for their Medicare Shared Savings program. Accountable Care Organizations (ACO) that are interested have the option of two start dates of April 1, 2012 and July 1, 2012.

The following is the outline steps to the Medicare Shared Savings Program Application Process
Step 1: Submitting the NOI is the first step in our application process.

If you are interested in applying for participation in the Medicare Shared Savings Program, please follow the instructions in the Notice of Intent to Apply (NOI) Memo in the Downloads section of this page.

Step 2: Submitting the application and the accompanying required documents is the second step in our application process.

Now available 11/10/11: The Medicare Shared Savings Program Application and accompanying appendices

After submitting an NOI, please follow the instructions in the Medicare Shared Savings Program Application 2012 document to submit your application. An application can be submitted via tracked mail or electronically through the Health Plan Management System (HPMS). The complete application package includes the following documents available in the Downloads section of this page:

Medicare Shared Savings Program Application 2012
Appendix A-Electronic Funds Transfer (EFT) Authorization Agreement (CMS Form 588)
Appendix B-Participant List
Appendix C-Data Use Agreement (DUA)
Appendix D-Application Reference Guide
Refer to the Appendix D-Application Reference Guide document in the Downloads section of this page for further details on how to complete the application.

CMS will be posting a PDF version of the application with fields that can be filled electronically and printed for those who are submitting paper applications.

Application Cycle: Key Dates:

Start Date April 1, 2012 July 1, 2012
2012 applications posted on CMS Web site Fall 2011 Fall 2011
NOIs accepted Nov 1, 2011 – Jan 6, 2012 Nov 1, 2011 – Feb 17, 2012
CMS User ID forms accepted Nov 9, 2011 – Jan 12, 2012 Nov 9, 2011 – Feb 23, 2012
2012 applications accepted Dec 1, 2011 – Jan 20, 2012 Mar 1-30, 2012
2012 application approval or denial decision March 16, 2012 May 31, 2012
Reconsideration review deadline* March 23, 2012 June 15, 2012

* – Date an organization must receive a favorable reconsideration review determination in order to qualify for the start date indicated on the application.

Downloads
ACO NOI Memo-Application [PDF, 199KB]Medicare Shared Savings Program Application 2012 [PDF, 228KB]

Appendix A-Electronic Funds Transfer (EFT) Authorization Agreement (CMS Form 588) [PDF, 104KB]

Appendix B-Participant List [ZIP, 13KB]

Appendix C-Data Use Agreement (DUA) [PDF, 2.06MB]

Appendix D-Application Reference Guide [PDF, 143KB]

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print

Tagged With: CMS, medicare shared saving

Tap Native

Get in-depth healthcare technology analysis and commentary delivered straight to your email weekly

Reader Interactions

Primary Sidebar

Subscribe to HIT Consultant

Latest insightful articles delivered straight to your inbox weekly.

Submit a Tip or Pitch

2026 Predictions & Trends

Healthcare 2026 Forecast: Executives on AI Survival, Financial Reckoning, and the End of Point Solutions

2026 Healthcare Executive Predictions: Why the AI “Pilot Era” Is Officially Over

Featured Research Report

Digital Health Funding Hits $14.2B in 2025: A Year of AI Exuberance and Market Bifurcation

Most-Read

Trump Unveils 'The Great Healthcare Plan': A Global Price-Matching Pivot to Settle the Affordability Crisis

Price Reset 2026: How Trump’s ‘Great Healthcare Plan’ Slashes Drug Costs at Trumprx.gov

Anthropic Debuts ‘Claude for Healthcare’ and Opus 4.5 to Engineer the Future of Life Sciences

Anthropic Debuts ‘Claude for Healthcare’ and Opus 4.5 to Engineer the Future of Life Sciences

OpenAI Debuts ChatGPT Health: A ‘Digital Front Door’ That Connects Medical Records to Agentic AI

OpenAI Debuts ChatGPT Health: A ‘Digital Front Door’ That Connects Medical Records to Agentic AI

From Genes to Hackers: The Hidden Cybersecurity Risks in Life Sciences

From Genes to Hackers: The Hidden Cybersecurity Risks in Life Sciences

Utah Becomes First State to Approve AI System for Prescription Renewals

Utah Becomes First State to Approve AI System for Prescription Renewals

NYC Health + Hospitals to Acquire Maimonides in $2.2B Safety Net Overhaul

NYC Health + Hospitals to Acquire Maimonides in $2.2B Safety Net Overhaul

KLAS Report: Why Hospitals Are Choosing Efficiency Over 'Agentic' AI Hype in 2025

KLAS Report: Why Hospitals Are Choosing Efficiency Over ‘Agentic’ AI Hype in 2025

Advanced Primary Care 2026: Top 6 Investments for Health Systems According to Harvard Medical School

Advanced Primary Care 2026: Top 6 Investments for Health Systems According to Harvard Medical School

AI Nutrition Labels: The Key to Provider Adoption and Patient Trust?

AI Nutrition Labels: The Key to Provider Adoption and Patient Trust?

Kristen Hartsell, VP of Clinical Services, RedSail Technologies

The Pharmacy Closures Crisis: How Independent Pharmacies Are Fixing Pharmacy Deserts

Secondary Sidebar

Footer

Company

  • About Us
  • 2026 Editorial Calendar
  • Advertise with Us
  • Reprints and Permissions
  • Op-Ed Submission Guidelines
  • Contact
  • Subscribe

Editorial Coverage

  • Opinion
  • Health IT
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Population Health Management
    • Revenue Cycle Management
  • Digital Health
    • Artificial Intelligence
    • Blockchain Tech
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • Value-Based Care
    • Accountable Care
    • Medicare Advantage

Connect

Subscribe to HIT Consultant Media

Latest insightful articles delivered straight to your inbox weekly

Copyright © 2026. HIT Consultant Media. All Rights Reserved. Privacy Policy |