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*Reminder: ETC Model Participant Data Sharing Agreement (DSA) Signing in 4innovation (4i) Platform Closes on 5/16*

This notice is a reminder that the ETC Model Data Sharing Agreement (DSA) signing window is open until May 16th at 11:59pm! _Data Sharing Agreements (DSAs) may not be signed outside a scheduled signing window_.  ETC Participants or their designees must sign their relevant DSAs by 5/16/24 to have access to beneficiary-level reports once available in the 4i Datahub on or before June 1, 2024.

_Background _

Under the ETC Model’s regulations at § 512.390, CMS makes certain beneficiary-identifiable data available to ETC Participants under the condition that an ETC Participant complete and submits, on at least an annual basis, a signed data sharing agreement. Beneficiary-identifiable data include the ETC Participant's attributed beneficiaries' names, Medicare Beneficiary Identifiers, dates of birth, dual eligible status, and LIS recipient status. Beneficiary-identifiable data may be retrieved by ETC Participants no later than one month before the start of each PPA Period. For the purposes of this notice, beneficiary-identifiable data will be available to ETC Participants with a signed and active DSA on or before June 1, 2022, which is one month prior to the start of PPA Period 5, which begins on July 1, 2024.

_Next Steps: _


* If you are an ETC Participant that has signed a DSA before, please log into 4i and check the Agreement End Date. If the Agreement End Date is prior to 12/31/24, you must sign again.
* If you are an ETC Participant, you do not have an active DSA, and you wish you access your beneficiary-level reports, you must sign prior to 5/16/24.
* If you are a new ETC Participant, your DSA is available for signing through 5/16/24.
* Contact the ETC Model Help Desk with questions or concerns: ETC-CMMI@cms.hhs.gov

***Notice ETC Participants Without a 4i Account/an Expired 4i Invitation**:* 4i System Access Invitations were distributed to ETC Participants who do not have an active 4i account or whose invitation to 4i was sent previously but expired on 4/30/24. ETC Model Participants that meet these criteria can now create login credentials in 4i to complete the onboarding process and sign DSAs by 5/16/24 (see above). Recordings of CMMI webinars that cover an  introduction to the 4i platform and instructions for creating an account are available on the ETC website [ https://innovation.cms.gov/innovation-models/esrd-treatment-choices-model ] in the 4i Archive. Once logged into 4i, the webinar recording, and other tip sheets are available in the Knowledge Library.

Centers for Medicare & Medicaid Services (CMS) has sent this ESRD Treatment Choices (ETC) Model Update. To contact Centers for Medicare & Medicaid Services (CMS) go to our *contact us [ http://www.cms.gov/About-CMS/Agency-Information/ContactCMS/index.html ] *page.

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