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After consideration of public comments, we are finalizing the proposed policies on the duration and frequency of prepaid shared savings under 425.640(f)(1) with modifications to specify that for ACOs that renewed to enter an agreement period beginning on January 1, 2025, and applied and were approved to participate in prepaid shared savings starting with performance year 2026 without renewing again, they will receive quarterly prepaid shared savings payments starting with the performance year beginning on January 1, 2026, and for the remainder of its agreement period, unless the payment is withheld or terminated pursuant to paragraph (h) of this section

Chronic steroid use may also justify secondary diagnosis codes for osteoporosis (M81.0) , adrenal insufficiency (E27.49) , or hyperglycemia/steroid-induced diabetes query the provider for documentation support