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These commenters stated many health center patients are financially vulnerable and that while health centers can place this co-insurance obligation on the sliding fee scale, patients have historically been wary of monthly payment requirements for general care management services

We proposed that we would provide the historical benchmark that has been adjusted to exclude payment amounts for HCPSC or CPT codes associated with SAHS billing activity occurring in the performance year being reconciled to ACOs as part of their financial reconciliation settlement package for the performance year, as opposed to providing a separate new historical benchmark report in advance of settlement