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NOTICE OF INTENT TO APPLY:JULY 1, 2019, OR JANUARY 1, 2020, START DATE FOR THE MEDICARE SHARED SAVINGS PROGRAM, SNF 3DAY RULE WAIVER, AND BENEFICIARY INCENTIVE PROGRAM Guidance April 2019 Version
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How to fill out medicare shared savings program

01
To fill out the Medicare Shared Savings Program, follow these steps:
02
Start by visiting the official Medicare website or the website of the Centers for Medicare & Medicaid Services (CMS) to access the necessary forms and information.
03
Gather all the required documentation and information, such as the Provider Information Form, Tax Identification Number (TIN), National Provider Identifier (NPI), practice demographics, and financial performance history.
04
Carefully review the eligibility criteria and program requirements to ensure your practice qualifies for participation.
05
Complete the Provider Information Form accurately and truthfully. Make sure to provide all the requested details, including contact information, organizational structure, primary care programs, and any participating ACO(s) information, if applicable.
06
Attach all the necessary supporting documents, such as medical licenses, certifications, and other relevant paperwork, as specified in the application instructions.
07
Verify that all the information provided is correct and up-to-date. Double-check for any errors or inconsistencies before submitting the application.
08
Submit the completed application and supporting documents as instructed, either by mail or electronically through the designated submission portal.
09
Keep a copy of the submitted application and all supporting documentation for your records.
10
Wait for the Medicare Administrative Contractor (MAC) to review and process your application. This may take some time, so be patient.
11
Once your application is reviewed and accepted, you will receive notification from CMS or your MAC regarding participation and next steps.
12
It is recommended to consult with a healthcare attorney or an experienced professional familiar with the Medicare Shared Savings Program to ensure all requirements are met and the application is properly submitted.

Who needs medicare shared savings program?

01
The Medicare Shared Savings Program is designed for eligible healthcare providers, such as Accountable Care Organizations (ACOs), physicians, healthcare professionals, and other healthcare entities.
02
ACOs and healthcare providers who aim to collaborate and coordinate care for Medicare beneficiaries while reducing healthcare costs and improving quality outcomes can benefit from the program.
03
Individual practitioners, group practices, hospitals, and other healthcare organizations that meet the eligibility criteria and are willing to actively participate in care coordination and quality improvement initiatives are encouraged to consider joining the Medicare Shared Savings Program.
04
Ultimately, those interested in transforming the delivery of healthcare and sharing in the financial savings achieved through coordinated and quality care can take advantage of the Medicare Shared Savings Program.
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The Medicare Shared Savings Program (MSSP) is a program established by the Affordable Care Act that allows healthcare providers to work together to coordinate care for Medicare beneficiaries. It incentivizes providers to reduce costs while maintaining or improving quality of care.
Entities that participate in the Medicare Shared Savings Program, including Accountable Care Organizations (ACOs) and their members, are required to file for the program and report their performance metrics.
To fill out the Medicare Shared Savings Program application, providers must submit an application through the Centers for Medicare & Medicaid Services (CMS) online portal, providing required information regarding their ACO's structure, governance, and plans for patient care coordination.
The purpose of the Medicare Shared Savings Program is to promote patient-centered care by encouraging healthcare providers to work collaboratively, reduce unnecessary spending, improve care quality, and enhance overall patient outcomes in the Medicare system.
Participants in the Medicare Shared Savings Program must report on various metrics including patient care quality measures, cost savings achieved, and demographic information of the patient populations they serve.
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