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Comment: A commenter supported calculating the proposed ASM payment adjustment by withholding Part B payments and suggested implementing a retrospective withhold of hospital-based Part A payments for distribution, to leverage savings from avoiding unnecessary procedures, which are a primary source of potential savings that are challenging to capture

No later than 30 days after an ACO participant has undergone a change of ownership that has resulted in a change to its Medicare enrolled TIN, whereby the surviving Medicare enrolled TIN has no Medicare billing claims history, the ACO must submit a change request to CMS