How to Submit a Notice of Intent to Apply in ACO-MS

Disclaimer: This communication material was prepared as a service to the public and is not intended to grant rights or impose

obligations. It may contain references or links to statutes, regulations, or other policy materials. The information provided is only

intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers

to review the specific statutes, regulations, and other interpretive materials for a full and accurate statement of its contents. This

document is published, produced, and disseminated at U.S. taxpayer expense.

ACO-MS

TIP SHEET

How to Submit a Notice of Intent to Apply in ACO-MS

Version 2 | May 2022

OVERVIEW

ACOs must submit a Notice of Intent to Apply (NOIA) to participate in the Medicare Shared

Savings Program (Shared Savings Program). If your ACO does not submit a NOIA before the

deadline, it cannot apply to the Shared Savings Program for the upcoming performance year.



Each ACO can only submit only one NOIA.



ACOs must submit the NOIA through the ACO Management System (ACO-MS). CMS does

not accept NOIAs submitted via email or mail.

COMPLETING AN INITIAL NOIA

❶ Go to ACO-MS and select “Submit your Notice of Intent to

Apply (NOIA)”

❷ Enter your ACO legal entity information including the

following:

▫ ACO taxpayer identification number (TIN),

▫ ACO full legal entity name,

▫ Trade name/doing business as name (DBA) (optional),

and

▫ ACO address

❸ Enter the contact information for your ACO’s

▫ ACO Executive,

▫ Application Contact (primary), and

▫ Application Contact (secondary) (optional)

❹ Review and submit

Currently participating ACOs with an

agreement period end date of

December 31, 2022 can navigate to

the Agreement Details subtab in ACO-

MS and select

“Renew NOIA” to submit a NOIA for a

new agreement period

Renewing ACOs

Confirm that the information entered is

accurate. Verify the TIN is correct and

the legal entity name matches legal

documentation.

Tip for Success

You do not need to submit a NOIA to

stay in your current ACO Participation

Agreement.

Only submit an Early Renewal NOIA if

your ACO intends to submit an

application as an Early Renewal

Applicant for a new agreement period.

Currently Participating ACOs

How to Submit a NOIA in ACO-MS

Version 2 | May 2022

Disclaimer: This communication material was prepared as a service to the public and is not intended to grant rights or impose

obligations. It may contain references or links to statutes, regulations, or other policy materials. The information provided is only

intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers

to review the specific statutes, regulations, and other interpretive materials for a full and accurate statement of its contents.

This

document is published, produced, and disseminated at U.S. taxpayer expense.

NEXT STEPS

Each ACO will receive a confirmation email upon the approval of its NOIA. The approval email

for initial and re-entering applicants will include information on how to obtain a user ID for

logging into ACO-MS. Please reference the ACO-MS: Initial Access Information tip sheet for

help setting up an ACO-MS account.

RESOURCES

RESOURCE DESCRIPTION

Program Statutes &

Regulations webpage

Shared Savings Program regulations

Application Types &

Timeline webpage

Key application cycle deadlines and additional resources to help

complete the application

Application Toolkit

webpage

Materials to help applicants complete the application(s); the toolkit

serves as a reference page for quick access to the Application

Reference Manual and guidance documents

If you have any questions about ACO-MS or require technical assistance, click the ACO-MS Helpdesk

icon (located within the ACO-MS banner) or call 1-888-734-6433 (select Option 1) or TTY/TDD 1-888-

734-6563.

Questions?