All tobacco products carry serious health risks
As a result, we propose to modify the Shared Savings Program eligibility requirements that will be implemented on January 1, 2025, by removing the reference to the Antitrust Enforcement Policy Statement in 425.202(a)(3), and also in 425.224(a)(3)
For these reasons, CMS believes it necessary to establish an estimation methodology to remove 340B units from the total number of units for a Part D rebatable drug, as described in this section
Specifically, we are proposing to update the payment for intake activities (HCPCS code G2076) to include payment for social determinants of health risk assessments (HCPCS code G0136) in order to adequately reflect additional effort for OTPs to identify a patient's unmet health-related social needs (HRSNs), or the need and interest for harm reduction interventions and recovery support services that are critical to the treatment of an OUD
These statutory CfC requirements are codified in regulations at 42 CFR part 491
We are proposing that MIPS eligible clinicians who participate in traditional MIPS would be required to report two activities