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The aforementioned changes, as presented in the CY 2026 PFS proposed rule (90 FR 32785), apply to OMB control number 0938-1314 (CMS-10621)

ASM participants must maintain contemporaneous documentation, in accordance with 512.135, regarding all CCAs to which they are a party

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Calculating Shared Savings and Losses for ACOs That Fall Below 5,000 Assigned Beneficiaries (1) Apply an Alternative Performance Payment Limit and Loss Recoupment Limit During Financial Reconciliation for ACOs That Fall Below 5,000 Assigned Beneficiaries in Any Benchmark Year (a) Background Section 1899(d)(2) of the Act addresses how payments for shared savings are to be determined and states that the Secretary shall establish limits on the total amount of shared savings that may be paid to an ACO under that provision