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Because GTN did not prove to be neuroprotective in those clinical studies, an alternative mechanism was explored in this research

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Comment: A few commenters recommended that CMS extend the time period in which ACOs must notify CMS of SNF affiliate CHOWs from 30 days to 45, 60, or 90 days, stating that it might be difficult for a SNF affiliate to notify an ACO of a CHOW and for the ACO to then notify CMS of the CHOW within the 30-day period