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Similarly, beneficiaries eligible to be assigned to a REACH ACO, or a Making Care Primary or Primary Care First practice because of an established care relationship between the beneficiary and a billing practitioner who would be billing for APCM services under the model participant's TIN, including beneficiaries who voluntarily aligned to a practitioner participating in one of these three models would not be considered a new patient and would not require an initiating visit

Both fall under the smokeless tobacco umbrella and both are affected by the federal Schedule additive rules

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The legislationwhich was created with the cooperation of tobacco company Philip Morris and Campaign for Tobacco-Free Kids president Matthew Myerspassed Congress with bipartisan support and was signed into law on June 22, 2009 by President Barack Obama