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In accordance with policies established in the CY 2024 OPPS/ASC final rule and codified in regulatory text at 88 FR 81540, CMS would except biosimilar biological products from the OPPS threshold packaging policy when their reference biological products are separately paid

Payment for Dental Services Furnished in FQHCs Section 1862(a)(12) of the Act generally precludes payment under Medicare Parts A or B for any expenses incurred for services in connection with the care, treatment, filling, removal, or replacement of teeth or structures directly supporting teeth

Xenobiotica 41 , 11221130 (2011)

As specified, positive adjustments in prospective HCC risk scores are subject to a cap equal to the ACO's aggregate growth in demographic risk scores between BY3 and the performance year (positive or negative) plus 3 percentage points

As MVP scoring data becomes available in the future, we will reassess our methodology for estimating MVP participation and final scores