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In the CY 2021 PFS final rule, we again reduced the total number of measures that ACOs must report (85 FR 84733)
Currently, ACOs that select preliminary prospective assignment with retrospective reconciliation are required to send a beneficiary notice to each fee-for-service beneficiary under 425.312(a)(2)(iii)
We also finalized the Web Interface measure set for the CY 2021 MIPS performance period within the APP for Shared Savings Program ACOs only (85 FR 84720 through 84723), and in the CY 2022 PFS final rule, extended this collection type through CY 2024 (86 FR 65429)
HCPCS codes GPCM1 through GPCM3 would describe APCM services furnished per calendar month, following the initial qualifying visit (see section II.G.2.c.(1) for more on the initiating visit)
[154] SAMHSA has defined digital therapeutics (DTx) in the behavioral health context as health software intended to treat or alleviate a disease, disorder, condition, or injury by generating and delivering a medical intervention that has a demonstrable positive therapeutic impact on a patient's health. [155] SAMHSA also notes that DTx may be used independently or in concert with medications, devices, or other therapies to optimize patient care and health outcomes. Given nationwide behavioral health workforce shortages combined with increasing demand for behavioral health care services, some Medicare beneficiaries may have limited ( access to these services
