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Self-treatment and using the services of unverified clinics can also lead to adverse effects

Comment: Some commenters supported CMS' proposed approach to determine the proportion of the performance year affected by the EUC due to cyberattack using the start and end dates provided on the ACO's EUC Exception application or defaulting to a 90-day duration when no end date is included, unless the start date is less than 90 days from the end of the performance year

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Nevertheless, ALCAR does benefit many patients with depression