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Specifically, we proposed to modify 425.224(b)(1)(ii)(A) to state that, as part of the factors we evaluate when determining whether to approve a renewing ACO's or re-entering ACO's application, we will evaluate whether the ACO demonstrated a pattern of failure to meet the quality performance standard and alternative quality performance standard (if applicable), or met any of the criteria for termination at 425.316(c)(1)(ii), (c)(2)(ii), or (c)(3)(ii)

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29-31 gauge insulin syringes work well for subcutaneous injection