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The Suggestion of Error period for the report containing the reconciled rebate amount for applicable calendar quarters in CY 2024 would be 10 calendar days
To clarify, we are proposing that the CPT Modifier 79 would only need to be appended to the HCPCS code (G9886 or G9887) that identifies the session that included content from a previously held session that serves as a makeup session for the session the MDPP beneficiary missed, which was held on the same day as a regularly scheduled MDPP session
Further, we believe that payment for oral sleep apnea appliances would not fall within the payment policy for dental services inextricably linked to covered medical services, as the appliances are not services for dental care, but are instead services and supplies for the purposes of directly treating a medical condition unrelated to teeth or structures directly supporting the teeth (for example, sleep apnea)
Application for Increased Applicable Percentage Section 1847A(h)(3)(B)(ii) of the Act permits the Secretary to increase the applicable percentage for a refundable drug that has unique circumstances through notice and comment rulemaking
