July 21, 2016
We understand that the issues still of concern to CMS are relatively small ones; in other words, they are not focusing on major constructs, but on the smaller points. We can not project the timeline at this point, but given the stress and chaos that has been the result of major changes with significant effects being “dropped” on the providers with little notice, we are going to focus on persuading the Administration to use the time wisely and project a timeline which will begin on the date that CMS announces approval. It will be critical that the timeline include clear targets, sufficient lead time for critical events, and provisions for alternative processes as needed. Of course, we have no assurance that our efforts will be successful!