The 2021 ACPA Team Approval Application is now open. Unapproved teams and teams whose approval expires in 2021 are invited to apply. The application deadline is July 15, 2021.
All team applicants must submit a non-refundable initial application fee of US$280.00. Payment may be submitted by check, Visa, MasterCard, Discover or American Express. A processing fee will be added at checkout for credit card transactions. 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. Download the payment form.
Team Approval Resources
For guidance on completing the Team Application, review the 2021 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 is available on-demand. View the webinar.
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:
- 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 US$125.00 fee will be due upon re-submission.
Please refer to the ACPA Team Approval FAQ for more information.