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As e-cigarette use continues to be concerning among teens and adults, another type of flavored nicotine product is increasing in popularity oral nicotine pouches and lozenges

What criteria are used to determine whether the provision of these services may be medically reasonable and necessary

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In the CY 2023 PFS final rule (87 FR 69954 through 69956), we excluded new supplemental payments to Indian Health Service/Tribal hospitals and hospitals located in Puerto Rico consistent with our longstanding policy to exclude IME, DSH and uncompensated care payments from ACOs' assigned and assignable beneficiary expenditure calculations