(3) The payment limit for a drug covered as an additional preventive service, as defined at 410.64, appears on the DCAPS fee schedule and is determined as follows: (i) If Average Sales Price (ASP) data is available for the drug, consistent with part 414, subpart J, of this chapter, then the payment limit is determined using the methodology set forth in section 1847A of the Act and according to the provisions in part 414, subpart K, of this chapter
In the CY 2024 PFS proposed rule, through our RFI on general supervision of OTAs and PTAs by OTPPs and PTPPs, respectively, we solicited public comment, along with supporting data, for our consideration for possible future rulemaking about the following: (a) the questions and concerns we highlighted related to access, patient safety, and utilization
In addition, we have identified a more effective option for a beneficiary to self-report their weight in an MDPP distance learning session
Mouth swab tests are much easier to pass than a urine or blood test, since they usually can't detect drug use for more than a couple of days
According to the PE recommendations, only the new equipment code EQ412 ( Vitals monitoring system (MR Conditional) ) is being cleaned and not the entire room
