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We proposed a new 425.640(f) to provide an ACO that CMS determines meets the eligibility criteria described in section III.G.5.b of this final rule with a prepaid shared savings payment for each quarter of an agreement period that they are determined to be eligible for prepaid shared savings equal to the maximum quarterly payment amount calculated pursuant to the methodology outlined in 425.640(f)(2) (as further explained elsewhere in this section), unless the ACO elects to receive a lesser amount as described in 425.640(f)(6) (as further explained in section III.G.5.d

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These interconnected actions address the core biochemical and neurological abnormalities present in ASD, leading to observable behavioral improvements and offering promising avenues for further research