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As CMS intends to provide prepaid shared savings to ACOs if they improve and maintain performance and continue to see success in the program on an annual basis, ACOs that are not initially eligible would have the option to participate in the prepaid shared savings payment option in future years if they demonstrate a more recent history of success in the program and meet the other eligibility criteria

The area near Big Sandy where the bear was spotted is the farthest a grizzly is known to have ventured toward the eastern plains of Montana from either the Yellowstone or Glacier area populations

In fact, your dog has to have a negative heartworm test to receive heartworm preventative

Should CMS pursue this option, CMS would explore using existing AMP reporting processes for the MDRP to operationalize any new AMP reporting requirement