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While we do not require an order or referral for a Medicare patient to see a PT, OT, or SLP, we have explained that the presence of a signed order from the treating physician satisfies statutory requirements that therapy is/was medically necessary and the patient is/was under the care of a physician (Pub

Consumers who have purchased the Back to Nature Chocolate Chunk Cookies, Mini Chocolate Chunk Cookies, Chocolate Delight Granola, or Dark Chocolate Coconut Granola with the UPC numbers and dates noted, and have an allergy to milk, should destroy the product they have or are urged to return the product to the place of purchase for product replacement or refund

As such, ACOs that terminate would no longer be subject to annual reporting requirements for their spend plans once the payments are repaid to CMS