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  18. <DIV style="position:absolute;top:52;left:295"><nobr><span class="ft0">489</span></nobr></DIV>
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  19. <DIV style="position:absolute;top:76;left:234"><nobr><span class="ft0">under section 1848(o)(1)(A) but is not de-</span></nobr></DIV>
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  20. <DIV style="position:absolute;top:75;left:133"><nobr><span class="ft0">1</span></nobr></DIV>
    21. 

  21. <DIV style="position:absolute;top:102;left:234"><nobr><span class="ft0">scribed in clause (i) for the same payment&nbsp;</span></nobr></DIV>
    22. 

  22. <DIV style="position:absolute;top:101;left:133"><nobr><span class="ft0">2</span></nobr></DIV>
    23. 

  23. <DIV style="position:absolute;top:128;left:234"><nobr><span class="ft0">period, the Secretary shall develop a proc-</span></nobr></DIV>
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  24. <DIV style="position:absolute;top:127;left:133"><nobr><span class="ft0">3</span></nobr></DIV>
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  25. <DIV style="position:absolute;top:154;left:234"><nobr><span class="ft0">ess—</span></nobr></DIV>
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  26. <DIV style="position:absolute;top:153;left:133"><nobr><span class="ft0">4</span></nobr></DIV>
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  27. <DIV style="position:absolute;top:180;left:290"><nobr><span class="ft0">‘‘(I) to ensure that duplicate pay-</span></nobr></DIV>
    28. 

  28. <DIV style="position:absolute;top:179;left:133"><nobr><span class="ft0">5</span></nobr></DIV>
    29. 

  29. <DIV style="position:absolute;top:206;left:262"><nobr><span class="ft0">ments are not made with respect to&nbsp;</span></nobr></DIV>
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  30. <DIV style="position:absolute;top:205;left:133"><nobr><span class="ft0">6</span></nobr></DIV>
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  31. <DIV style="position:absolute;top:232;left:262"><nobr><span class="ft0">an eligible professional both under&nbsp;</span></nobr></DIV>
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  32. <DIV style="position:absolute;top:231;left:133"><nobr><span class="ft0">7</span></nobr></DIV>
    33. 

  33. <DIV style="position:absolute;top:258;left:262"><nobr><span class="ft0">this subsection and under section&nbsp;</span></nobr></DIV>
    34. 

  34. <DIV style="position:absolute;top:257;left:133"><nobr><span class="ft0">8</span></nobr></DIV>
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  35. <DIV style="position:absolute;top:284;left:262"><nobr><span class="ft0">1848(o)(1)(A); and&nbsp;</span></nobr></DIV>
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  36. <DIV style="position:absolute;top:283;left:133"><nobr><span class="ft0">9</span></nobr></DIV>
    37. 

  37. <DIV style="position:absolute;top:310;left:290"><nobr><span class="ft0">‘‘(II) to collect data from Medi-</span></nobr></DIV>
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  38. <DIV style="position:absolute;top:309;left:126"><nobr><span class="ft0">10</span></nobr></DIV>
    39. 

  39. <DIV style="position:absolute;top:336;left:262"><nobr><span class="ft0">care Advantage organizations to en-</span></nobr></DIV>
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  40. <DIV style="position:absolute;top:335;left:126"><nobr><span class="ft0">11</span></nobr></DIV>
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  41. <DIV style="position:absolute;top:362;left:262"><nobr><span class="ft0">sure against such duplicate payments.&nbsp;</span></nobr></DIV>
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  42. <DIV style="position:absolute;top:361;left:126"><nobr><span class="ft0">12</span></nobr></DIV>
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  43. <DIV style="position:absolute;top:388;left:234"><nobr><span class="ft0">‘‘(C) F</span></nobr></DIV>
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  44. <DIV style="position:absolute;top:390;left:276"><nobr><span class="ft1">IXED&nbsp;SCHEDULE&nbsp;FOR&nbsp;APPLICATION</span></nobr></DIV>
    45. 

  45. <DIV style="position:absolute;top:388;left:486"><nobr><span class="ft0">&nbsp;</span></nobr></DIV>
    46. 

  46. <DIV style="position:absolute;top:387;left:126"><nobr><span class="ft0">13</span></nobr></DIV>
    47. 

  47. <DIV style="position:absolute;top:416;left:206"><nobr><span class="ft1">OF&nbsp;LIMITATION&nbsp;ON&nbsp;INCENTIVE&nbsp;PAYMENTS&nbsp;FOR</span></nobr></DIV>
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  48. <DIV style="position:absolute;top:414;left:486"><nobr><span class="ft0">&nbsp;</span></nobr></DIV>
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  49. <DIV style="position:absolute;top:413;left:126"><nobr><span class="ft0">14</span></nobr></DIV>
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  50. <DIV style="position:absolute;top:442;left:206"><nobr><span class="ft1">ALL</span></nobr></DIV>
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  51. <DIV style="position:absolute;top:442;left:239"><nobr><span class="ft1">ELIGIBLE</span></nobr></DIV>
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  52. <DIV style="position:absolute;top:442;left:304"><nobr><span class="ft1">PROFESSIONALS</span></nobr></DIV>
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  53. <DIV style="position:absolute;top:440;left:397"><nobr><span class="ft0">.—In applying&nbsp;</span></nobr></DIV>
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  54. <DIV style="position:absolute;top:439;left:126"><nobr><span class="ft0">15</span></nobr></DIV>
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  55. <DIV style="position:absolute;top:466;left:206"><nobr><span class="ft0">section 1848(o)(1)(B)(ii) under subparagraph&nbsp;</span></nobr></DIV>
    56. 

  56. <DIV style="position:absolute;top:465;left:126"><nobr><span class="ft0">16</span></nobr></DIV>
    57. 

  57. <DIV style="position:absolute;top:492;left:206"><nobr><span class="ft0">(A), in accordance with rules specified by the&nbsp;</span></nobr></DIV>
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  58. <DIV style="position:absolute;top:491;left:126"><nobr><span class="ft0">17</span></nobr></DIV>
    59. 

  59. <DIV style="position:absolute;top:518;left:206"><nobr><span class="ft0">Secretary, a qualifying MA organization shall&nbsp;</span></nobr></DIV>
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  60. <DIV style="position:absolute;top:517;left:126"><nobr><span class="ft0">18</span></nobr></DIV>
    61. 

  61. <DIV style="position:absolute;top:544;left:206"><nobr><span class="ft0">specify a year (not earlier than 2011) that shall&nbsp;</span></nobr></DIV>
    62. 

  62. <DIV style="position:absolute;top:543;left:126"><nobr><span class="ft0">19</span></nobr></DIV>
    63. 

  63. <DIV style="position:absolute;top:570;left:206"><nobr><span class="ft0">be treated as the first payment year for all eli-</span></nobr></DIV>
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  64. <DIV style="position:absolute;top:569;left:126"><nobr><span class="ft0">20</span></nobr></DIV>
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  65. <DIV style="position:absolute;top:596;left:206"><nobr><span class="ft0">gible professionals with respect to such organi-</span></nobr></DIV>
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  66. <DIV style="position:absolute;top:595;left:126"><nobr><span class="ft0">21</span></nobr></DIV>
    67. 

  67. <DIV style="position:absolute;top:622;left:206"><nobr><span class="ft0">zation.&nbsp;</span></nobr></DIV>
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  68. <DIV style="position:absolute;top:621;left:126"><nobr><span class="ft0">22</span></nobr></DIV>
    69. 

  69. <DIV style="position:absolute;top:648;left:206"><nobr><span class="ft0">‘‘(4) P</span></nobr></DIV>
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  70. <DIV style="position:absolute;top:650;left:244"><nobr><span class="ft1">AYMENT&nbsp;ADJUSTMENT</span></nobr></DIV>
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  71. <DIV style="position:absolute;top:648;left:373"><nobr><span class="ft0">.—</span></nobr></DIV>
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  72. <DIV style="position:absolute;top:647;left:126"><nobr><span class="ft0">23</span></nobr></DIV>
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  73. <DIV style="position:absolute;top:674;left:234"><nobr><span class="ft0">‘‘(A) I</span></nobr></DIV>
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  74. <DIV style="position:absolute;top:676;left:276"><nobr><span class="ft1">N</span></nobr></DIV>
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  75. <DIV style="position:absolute;top:676;left:294"><nobr><span class="ft1">GENERAL</span></nobr></DIV>
    76. 

  76. <DIV style="position:absolute;top:674;left:348"><nobr><span class="ft0">.—In applying section&nbsp;</span></nobr></DIV>
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  77. <DIV style="position:absolute;top:673;left:126"><nobr><span class="ft0">24</span></nobr></DIV>
    78. 

  78. <DIV style="position:absolute;top:700;left:206"><nobr><span class="ft0">1848(a)(7) under paragraph (1), instead of the&nbsp;</span></nobr></DIV>
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  79. <DIV style="position:absolute;top:699;left:126"><nobr><span class="ft0">25</span></nobr></DIV>
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  80. <DIV style="position:absolute;top:767;left:25"><nobr><span class="ft2">VerDate 0ct 09 2002&nbsp;</span></nobr></DIV>
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  81. <DIV style="position:absolute;top:767;left:93"><nobr><span class="ft2">22:48 Jan 23, 2009</span></nobr></DIV>
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  82. <DIV style="position:absolute;top:767;left:156"><nobr><span class="ft2">Jkt 000000</span></nobr></DIV>
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  83. <DIV style="position:absolute;top:767;left:195"><nobr><span class="ft2">PO 00000</span></nobr></DIV>
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  84. <DIV style="position:absolute;top:767;left:231"><nobr><span class="ft2">Frm 00489</span></nobr></DIV>
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  85. <DIV style="position:absolute;top:767;left:270"><nobr><span class="ft2">Fmt 6652</span></nobr></DIV>
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  87. <DIV style="position:absolute;top:767;left:341"><nobr><span class="ft2">C:\TEMP\HR1.XML</span></nobr></DIV>
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  88. <DIV style="position:absolute;top:767;left:404"><nobr><span class="ft2">HOLCPC</span></nobr></DIV>
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  89. <DIV style="position:absolute;top:759;left:63"><nobr><span class="ft3">January 23, 2009 (10:48 p.m.)</span></nobr></DIV>
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  90. <DIV style="position:absolute;top:30;left:63"><nobr><span class="ft1">F:\IBF\111\HR1.XML</span></nobr></DIV>
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  91. <DIV style="position:absolute;top:749;left:63"><nobr><span class="ft3">f:\VHLC\012309\012309.236.xml &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; (421348|6)</span></nobr></DIV>
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