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(4) Definition of year

CMS considered a 10-day, 15-day, and 30-day Suggestion of Error period and believes a 10-calendar-day period (see proposed 427.503(c)) is sufficient after considering the volume of the data to be provided to manufacturers, the narrow scope of items that may be identified as a Suggestion of Error, and the operational time necessary for CMS to provide a Rebate Report within 6 months of the end of the applicable calendar quarter as required under ( section 1847A(i)(1)(A) of the Act

So-called ZYNfluencers on TikTok and other social media platforms have been criticized for promoting the pouches to young adults

These options are promoted as safe and permissible alternatives to real tobacco

Under this proposal, if CMS determined that an ACO used prepaid shared savings for a prohibited use under proposed 425.640(e)(2), allocated over 50 percent of their annual maximum prepaid shared savings on staffing and healthcare infrastructure as proposed at 425.640(e)(1)(i), or failed to spend at least 50 percent of the annual maximum prepaid shared savings on direct beneficiary services, CMS would require the ACO to reallocate the funding in compliance with 425.640(e) and submit an updated spend plan demonstrating the reallocation by a deadline specified by CMS and may withhold or terminate the ACO's receipt of prepaid shared savings under proposed 425.640(h)(1)