Medicare Shared Savings Program: Submit Notice of Intent to Apply by January 18

January 10, 2019
Health Policy

The Centers for Medicare & Medicaid Services (CMS) is accepting Notices of Intent to Apply (NOIAs) via the Accountable Care Organization (ACO) Management System (ACO-MS) for the July 1, 2019, start date for the redesigned Medicare Shared Savings Program – Pathways to Success. You must submit a NOIA if you intend to apply to the new BASIC or ENHANCED track of the Medicare Shared Savings Program, to apply for a Skilled Nursing Facility (SNF) 3-Day Rule Waiver, and/or to establish a Beneficiary Incentive Program.

NOIA submissions are due no later than January 18 at noon ET. A NOIA submission does not bind an organization to submit an application; however, you must submit a NOIA to be eligible to apply. Each ACO should submit only one NOIA. ACOs will have an opportunity to make changes to their tracks, repayment mechanisms, and other NOIA information during the application submission period. ACOs may submit additional documents with your NOIA submission (sample ACO Participant/SNF Affiliate Agreements, and draft repayment mechanism documentation) and receive feedback early, which may save your ACO time and effort during the application submission process.

Application Submission Period:

  • The application submission period for a July 1, 2019, start date will be open from January 22 to February 19, 2019, at noon ET
  • Additional resources on the application submission process will be available in mid-January

For more information, review the NOIA Guidance and the Application Types & Timeline webpage. For questions, send an email to