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(i) CMS will not exclude billing units from claims when the Medicare beneficiary has Medicaid coverage that does not include cost-sharing assistance, including Specified Low-Income Medicare Beneficiaries (SLMB), Qualified Disabled and Working Individuals (QDWI), and Qualifying Individuals (QI) beneficiaries

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Therefore, we propose technical changes to 405.2464(c) to accurately reflect the iterations of our payment policy for care coordination services as detailed in this background section

We note that this proposed change will result in an increase of 2.48 hours (11.98 hr adjusted estimate 9.5 hr currently approved estimate) for each applicant to complete the simplified QCDR self-nomination process (88 FR 79426 and 79427)