Direct beneficiary services include in-kind items or services provided to an ACO beneficiary that are not otherwise covered by Traditional Medicare but have a reasonable expectation of improving or maintaining the health or overall function of ACO beneficiaries
Theres little data on switching, and preliminary research suggests pouches may not be a great substitute
Instead, ask an ex-smokeless tobacco user or ex-smoker or never-smoker for support, or visit a free online support forums such as Turkeyville
I figured Id give it a try, burn my tongue, dirty up a cob, and cellar the rest, and maybe get something out of them when Im 60 and Prince Albert is the last pipe tobacco you can still buy on earth
In proposed 428.203(b)(2)(i)(A) and (B), CMS would exclude 340B units beginning with January 1, 2026, which is the second calendar quarter in the applicable period starting October 1, 2025, and beyond (as discussed in further detail in section III.I.3.f of this proposed rule)