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Adapting to new health standards and shifting cultural norms around tobacco use has been part of that evolution

We note that this payment approach was mentioned in the Senate Appropriations Committee's Explanatory Statement For Departments Of Labor, Health And Human Services, And Education, And Related Agencies Appropriations Bill, 2021. [308] That report referenced a December 2019 white paper by the National Association of Community Health Centers, which noted that FQHCs can face significant delays in reimbursement for influenza and pneumococcal vaccines. [309] The Committee thus encouraged CMS to promote the ability of FQHCs to bill Part B directly for vaccinations at the time of service, with reconciliation of payments at the time of cost report settlement

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and/or (4) Other supporting documentation to justify the inclusion of the proposed medical clinical scenario requiring dental services (87 FR 69686)