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HHS/CMS RIN: 0938-AT45 Publication ID: Fall 2018 
Title: Medicare Shared Savings Program; Accountable Care Organizations (CMS-1701-F) 

This final rule would makes changes to the regulations for the Medicare Shared Savings Program for Accountable Care Organizations (ACOs), including facilitating transition to performance-based risk and other program flexibilities, additional waivers for patients and doctors, and policies for ensuring program integrity and sustainability.

Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Yes  Unfunded Mandates: No 
EO 13771 Designation: Deregulatory 
CFR Citation: 42 CFR 425   
Legal Authority: 42 U.S.C. 1302 and 1395hh   
Legal Deadline:
Action Source Description Date
Final  Statutory  MMA section 902.MMA section 902 requires Medicare final rules publish within three years of a proposed or interim final rule. Rule may publish before the three-year deadline.   08/17/2021 
Action Date FR Cite
NPRM  08/17/2018  83 FR 41786   
NPRM Comment Period End  10/16/2018 
Final Action  08/00/2021 
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Federal 
Small Entities Affected: Businesses, Organizations  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Elizabeth November
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare, MS: C5-15-24, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-8084