grizzly tobacco products Fine Cut Natural Smokeless - 1.2 Oz GRIZZLY CHEWING TOBACCO 5//ROLL -

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In response to commenters concern that CMS might adjust the ACPT downward during the agreement period, we stated that we will not adjust the ACPT projections over the course of the agreement period (87 FR 69897)

We propose to use the latest available beneficiary assigned person years for the maximum quarterly prepaid shared savings payment because an ACO's assigned beneficiary person years change over the course of a performance year and over the course of an agreement period