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As noted earlier in this rule, ACOs that wish to provide direct beneficiary services to beneficiaries through prepaid shared savings will need to submit a spend plan with information including the ( groups of beneficiaries they intend to provide direct beneficiary services, how the direct beneficiary services will be provided to beneficiaries and how such services support the care of beneficiaries, and attest that they will not discriminate on the basis of race, color, religion, sex, national origin, disability, or age with respect to how they propose to spend prepaid shared savings

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