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and (B) The sum of the monthly units reported for the calendar quarter beginning January of the payment amount benchmark period divided by the sum of the monthly units reported for the 4 quarters of the payment amount benchmark period

Eligible ACOs that apply and are approved to receive prepaid shared savings will receive advances of earned shared savings that they can use to make investments that would aid beneficiaries, such as investments in direct beneficiary services and investments to improve care coordination through staffing or healthcare infrastructure

Specifically, we are proposing that Medicare Parts A and B payment may be made for dental or oral examination performed as part of a comprehensive workup prior to Medicare-covered dialysis services when used in the treatment of ESRD