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We stated that we believed it was appropriate to establish the payment rate where the utilization is typically structured to be days with 3 or fewer services and solicited comment on whether the hospital-based IOP payment rate for 4-service days would be appropriate for RHCs and FQHCs

or 15 percent of the difference between the average per capita amount of expenditures for the ACO's regional service area and the average per capita amount of the ACO's initial or rebased historical benchmark, if the ACO is determined to have higher spending than the ACO's regional service area ( 425.656(e)(1)(ii))

We note we used the currently approved burden in the CY 2024 PFS final rule (88 FR 79444 through 79446) as the baseline to determine the net change in burden

PACT Act and Online Tobacco Sales If you ship tobacco or vape products across state lines, you fall under the federal Prevent All Cigarette Trafficking (PACT) Act