If the subsequent agreement period is the ACO's current agreement period, and CMS has not yet issued an initial determination for a performance year within the current agreement period, we would account for the impact of improper payments on future financial calculations pursuant to the proposed ( benchmark adjustment specified in modifications to 425.601(a)(9) and 425.652(a)(9)
All previously approved COVID-19 vaccine product and vaccine administration codes were deleted from the CPT code set effective November 1, 2023, except for product code 91304, which represents the ( Novavax COVID-19 vaccine product and remains active
Considerations must also be directed towards safeguarding the Medicare Trust Funds and ensuring that CMS satisfies any statutory requirements under section 1899(i)(3) of the Act
( (i) Discarded drug units for which a refund has been paid will be removed from the total number of billing units in the single Preliminary Rebate Report for the applicable calendar quarters in calendar year 2023
This is attributed to the sweetening and flavor added to many SLT products
CMS welcomes comments on this approach
