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If an ACO fails to reallocate prepaid shared savings it received by a deadline specified by CMS, the ACO must repay all prepaid shared savings it received and may be subject to compliance action ( as specified in 425.216 and 425.218
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The FY2026 tabular draws the lines explicitly with Excludes1 notes in both directions: Three operational notes: Never report two corners together for the same patient encounter
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