DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Medicare & Medicaid Services42 CFR Part 425[CMS-1345-P]RIN 0938-AQ22Medicare Program; Medicare Shared Savings Program: Accountable CareOrganizationsAGENCY:

Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION:

Proposed rule.

SUMMARY:

This proposed rule would implement section 3022 of the Affordable CareAct which contains provisions relating to Medicare payments to providers of services andsuppliers participating in Accountable Care Organizations (ACOs). Under theseprovisions, providers of services and suppliers can continue to receive traditionalMedicare fee-for-service payments under Parts A and B, and be eligible for additionalpayments based on meeting specified quality and savings requirements.

DATES

: To be assured consideration, comments must be received at one of theaddresses provided below, no later than 5 p.m. on

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ADDRESSES:

In commenting, please refer to file code CMS-1345-P. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission.You may submit comments in one of four ways (please choose only one of theways listed):1. Electronically. You may submit electronic comments on this regulation to

CMS-1345-P 2

http://www.regulations.gov

. Follow the "Submit a comment" instructions.2. By regular mail. You may mail written comments to the following addressONLY:Centers for Medicare & Medicaid Services,Department of Health and Human Services,Attention: CMS-1345-P,P.O. Box 8013,Baltimore, MD 21244-8013.Please allow sufficient time for mailed comments to be received before the closeof the comment period.3. By express or overnight mail. You may send written comments to thefollowing address ONLY:Centers for Medicare & Medicaid Services,Department of Health and Human Services,Attention: CMS-1345-P,Mail Stop C4-26-05,7500 Security Boulevard,Baltimore, MD 21244-1850.4. By hand or courier. If you prefer, you may deliver (by hand or courier) yourwritten comments before the close of the comment period to either of the followingaddresses:a. For delivery in Washington, DC--

CMS-1345-P 3Centers for Medicare & Medicaid Services,Department of Health and Human Services,Room 445-G, Hubert H. Humphrey Building,200 Independence Avenue, SW.,Washington, DC 20201(Because access to the interior of the Hubert H. Humphrey Building is not readilyavailable to persons without Federal government identification, commenters areencouraged to leave their comments in the CMS drop slots located in the main lobby of the building. A stamp-in clock is available for persons wishing to retain a proof of filingby stamping in and retaining an extra copy of the comments being filed.)b. For delivery in Baltimore, MD--Centers for Medicare & Medicaid Services,Department of Health and Human Services,7500 Security Boulevard,Baltimore, MD 21244-1850.If you intend to deliver your comments to the Baltimore address, please calltelephone number (410) 786-7195 in advance to schedule your arrival with one of ourstaff members.Comments mailed to the addresses indicated as appropriate for hand or courierdelivery may be delayed and received after the comment period.Submission of comments on paperwork requirements. You may submitcomments on this document's paperwork requirements by following the instructions atthe end of the "Collection of Information Requirements" section in this document.