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(e) Alternative Policy Considered: 340B Claims Identifier As described in section 40.2.7 of the initial Medicare Part D Drug Inflation Rebate Guidance, CMS considered requiring that a 340B indicator be included on the PDE record at the time of dispense to identify drugs purchased under the 340B Program that were dispensed under Medicare Part D

MVPs are a reporting option under MIPS, which is one of the two primary ways a clinician may participate in the CMS Quality Payment Program

We propose to use data from cost reports beginning in FY 2022 because these data are the latest available complete set of Medicare cost report data for purposes of calculating cost weights for the FQHC market basket at the time of rulemaking

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