CMS sets application deadline for 2019 MSSP Washington Connection Medicare Payment Policies Quality Payment Program Sign in to save CMS sets application deadline for 2019 MSSP CMS announced the 2019 application timeline for the Medicare Shared Savings Program (MSSP). Delayed due to a redesign of the program that was finalized in Dec. 2018, the “Pathways to Success” final rule revised the MSSP by overhauling the way accountable care organizations (ACOs) share financial risk and potential reward. Instead of these changes taking effect on Jan. 1, 2019, CMS finalized a one-time agreement period starting July 1 for ACOs wishing to enter the program in 2019 or with contracts that are expiring on July 30. ACOs interested in the July 1 start date must submit a non-binding Notice of Intent to Apply by Jan. 18 and an application by Feb. 19. CMS is expected to resume the usual annual application cycle for agreement periods starting on Jan. 1, 2020. For more information, visit CMS’ application landing page.