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We agree with the commenters recommendation and will clarify in subregulatory guidance that RHCs and FQHCs can bill separately for dental services that are inextricably linked to other covered Medicare services on the same day a medical visit is furnished by an RHC or FQHC practitioner

We further proposed that if a manufacturer submits a complete and timely extension request, and CMS determines that the information submitted warrants an extension of the rebate reduction, the total rebate amount would be reduced by 75 percent for a second consecutive applicable period for that manufacturer's generic Part D rebatable drug in accordance with 428.303(b)(2)