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Section 414.1405 is amended by adding paragraph (b)(10) and revising paragraph (g) to read as follows: Payment

This applies when it is difficult to determine which substances are contributing to the disorders, often because users may not be aware of all the substances they are consuming

for instance, if certain types of services are more or less likely to present patient safety concerns, or if this flexibility would be more appropriate when certain types of auxiliary personnel are performing the supervised service

Statute also requires CMS to impose an inflation rebate if the specified amount exceeds the inflation-adjusted payment amount