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)
Since MIPS eligible clinicians do not submit data separately for measures in the cost performance category and we score cost measures based solely on Medicare claims data, the proposed reweighting policy does not apply to the cost performance category
[427] Section 1861(jjj)(1)(A) of the Act recognizes opioid agonist and antagonist treatment medications (including oral, injected, or implanted versions) that are approved by the FDA under section 505 of the FFDCA for the use in treatment of OUD, but nalmefene is not on the list of drugs for the treatment of OUD
2026 ICD-10-CM Diagnosis Code F17.210 Nicotine dependence, cigarettes, uncomplicated ICD-10-CM Code: F17.210 ICD-10 Code for: Nicotine dependence, cigarettes, uncomplicated Is Billable
