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First of all, rolling tobacco is finely chopped and thus, it is more appropriate for handmade cigarettes

Further, as discussed in greater detail in section III.G.7.c.(2).(e) of this proposed rule, ACOs can play an important role in identifying for CMS improper payments that may impact Shared Savings Program calculations

Without this provision, if we keep the existing date of January 1, 2025, as in the current regulatory text at 423.160(a)(5) for the CMS EPCS Program, we estimate at least 6,800 prescribers would become non-compliant due to CMS including prescriptions written for beneficiaries in LTC in the CMS EPCS Program compliance threshold calculation