CMS proposes codifying the policy described in section 50.8.1 of the revised Medicare Part B Drug Inflation Rebate Guidance in 427.303 to remove separately payable billing units in claim lines that are billed with the JG or TB modifiers from identified final action claim lines
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Across the country, the money supports other innovative treatment approaches: $21 million for a new program in Kentucky that diverts people with mental illness or addiction who face low-level charges away from incarceration and into treatment, education, and workforce training More than $3 million for, in part, three new mobile methadone programs in Massachusetts, to bring the medication to rural and underserved areas Tens of thousands of dollars each in Iowa and Pennsylvania to cover out-of-pocket treatment costs for people without insurance or those with high deductibles Philip Rutherford, an expert on substance use disorder at the National Council for Mental Wellbeing, said these efforts are really positive and many have been historically difficult or impossible to achieve with federal or state funding. But some funds are also flowing to treatment approaches that defy best practices, such as denying people medications for opioid use disorder
