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Currently, under 425.312(a)(2)(v)(A), The follow-up communication must occur no later than the earlier of the beneficiary's next primary care service visit or 180 days from the date the standardized written notice was provided. Regulations at 425.312(a)(2)(v)(B) require ACOs to document the beneficiary information follow-up communication in a system of record supported by the ACO and to make the information available to CMS upon request

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The patient should be educated on the importance of prevention of dental diseases through improved oral hygiene techniques and regimes, but also on the benefits of fluoride