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This document outlines the extension of submission deadlines for the letters of intent and applications for the Pioneer Accountable Care Organization Model, along with details on the necessary requirements
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How to fill out Notice of Extension of Deadlines for the Pioneer Accountable Care Organization Model

01
Download the Notice of Extension form from the official CMS website.
02
Fill in the organization name and address at the top of the form.
03
Indicate the specific deadlines that are being extended.
04
Provide the reasons for the extension in the designated section.
05
Sign and date the form at the bottom.
06
Submit the completed form to the appropriate CMS contact for the Pioneer ACO program.

Who needs Notice of Extension of Deadlines for the Pioneer Accountable Care Organization Model?

01
Pioneer ACO program participants who require additional time to meet specific deadlines and need formal notification of such extensions.
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The Pioneer ACO Model was designed specifically for organizations with experience offering coordinated, patient-centered care, and operating in ACO-like arrangements.
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In December 2011, CMS signed agreements with 32 organizations to participate in the Pioneer ACO Model. On December 31, 2016, there were 8 Pioneer ACOs that had participated in the fifth and final performance year (CY2016) of the model. How many applications did CMS receive for the Pioneer ACO Model?

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The Notice of Extension of Deadlines for the Pioneer Accountable Care Organization Model is an official document that allows participant organizations to request an extension for deadlines related to the reporting and compliance requirements set forth in the model.
Organizations participating in the Pioneer Accountable Care Organization Model that are unable to meet specified deadlines due to extenuating circumstances are required to file the Notice of Extension.
To fill out the Notice of Extension, organizations should provide their identifying information, specify the deadlines they are requesting to extend, state the reasons for the extension request, and include any required supporting documentation.
The purpose of the Notice of Extension is to formalize the request for additional time to ensure that organizations can comply with reporting and regulatory requirements without facing penalties due to unforeseen challenges.
The information that must be reported includes the organization's name, identification number, the specific deadlines being extended, the rationale for the extension request, and any relevant supporting details or documentation.
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