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For the second and each subsequent performance year during the term of the agreement period, the ACO's benchmark is adjusted for the following, as applicable: For the addition and removal of ACO participants or ACO providers/suppliers in accordance with 425.118(b), for a change to the ACO's beneficiary assignment methodology selection under 425.226(a)(1), for a change to the beneficiary assignment methodology specified in subpart E of this part, for a change in the CMS-HCC risk adjustment methodology used to calculate prospective HCC risk scores under 425.659, for changes in values used in benchmark calculations in accordance with 425.316(b)(2)(ii)(B) or (C) due to compliance action to address avoidance of at-risk beneficiaries or as a result of issuance of a revised initial determination under 425.315, and for changes in values used in benchmark calculations as a result of the performance year being affected by significant, anomalous, and highly suspect billing under 425.672

This has boosted demand for updated design and production technologies in the packaging for these regulated products

While such support is scarce in rural areas such as Gadap Town, training available healthcare workers in adapting and implementing the BISCA model can help people seeking counselling for SLT cessation in BHUs and PHCs to get the support they need for successfully quitting SLT use