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CMS Announces New ACO Model for Dual Eligibles

The Centers for Medicare & Medicaid Services (CMS) is accepting letters of intent from states interested in designing and launching a new accountable care organization (ACO) model for beneficiaries dually eligible for Medicare and Medicaid.

CMS will partner with up to six states on the new Medicare-Medicaid ACO Model, which was designed by the CMS Innovation Center. The agency will give preference to states with low Medicare ACO saturation. Through the model, CMS is urging participation from providers that fill a safety net role those qualifying as “Safety Net ACOs” can receive prepayment of Medicare shared savings to support investment in care coordination infrastructure.

Interested states can choose from three options for beginning the first 12-month Medicare-Medicaid ACO performance period, with corresponding deadlines for letters of intent:

  • Jan. 20, 2017, is the deadline to submit a letter of intent for a performance year beginning in 2018;
  • Aug. 4, 2017, is the deadline to submit a letter of intent for a performance year beginning in 2019; and
  • Aug. 3, 2018, is the deadline to submit a letter of intent for a performance year beginning in 2020.

Letters of intent should be sent to MMACO@cms.hhs.gov.

For questions, contact Director of Policy Erin O’Malley at eomalley@essentialhospitals.org or 202.585.0127.

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About the Author

Michelle Rosenfeld is senior writer/editor at America's Essential Hospitals.