Team Application

The 2023 Team Approval Application will open in the spring.

All team applicants must submit a non-refundable initial application fee. Payment may be submitted by check, Visa, MasterCard, Discover or American Express. If a team is approved, this fee will count as the team’s first year listing fee. Team fees cover the administration of the ACPA Team Approval program.

View the Team Approval Process and the ACPA Team Approval Procedures Manual for more information and full application instructions.

Team Approval Resources

For guidance on completing the Team Application, review the 2022 Sample Application. Please note that this document is read-only and all applications must be completed online.

A free webinar on the Team Approval process available on-demand. View the webinar.

HIPAA Compliance

Please note that HIPAA requires applying teams to remove all patient identifying information from the application, a process HIPAA calls de-identification. Identifying information for patients, relatives, and household members includes, but is not limited to the following:

Names
Geographic subdivisions smaller than a state (city, school, mailing address, etc)
Telephone and Fax numbers
Email addresses
All birth dates, death dates, admission dates, and discharge dates. The year should remain unredacted.
Full face photographs
Social security numbers
Medical record numbers
Account numbers
Any other unique numbers, codes, or characteristics that can be linked to an individual

Applications containing any patient identifying information will be returned for redactions. If an application is returned a second time, an additional $125.00 fee will be due upon re-submission.

Please refer to the ACPA Team Approval FAQ for more information.

Team Approval Resources

HIPAA Compliance

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