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Modify beneficiary notification requirements, including the following (section III.G.8 of this proposed rule): ++ ACOs must provide the follow-up beneficiary communication no later than 180 days after the date that the ACO provided the standardized written notice to the beneficiary (section III.G.8.a of this proposed rule)

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Duration, Frequency and Withholding or Termination of Prepaid Shared Savings Payments (1) Duration and Frequency CMS anticipates that the vast majority of ACOs receiving prepaid shared savings would fully repay the amount they receive of prepaid shared savings from their earned shared savings on an annual basis