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We are also seeking comment on how we can improve the transparency and predictability regarding which HCPCS codes are considered care coordination services to automate processes downstream for RHCs and FQHCs

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427.302 Calculation of the per unit Part B drug rebate amount

As the first step in the reporting process, as proposed in proposed 428.401(b) and consistent with section 50 of the revised Medicare Part D Drug Inflation Rebate Guidance, CMS would provide each manufacturer of a Part D rebatable drug with the preliminary rebate amount through a Preliminary Rebate Report at least 1 month prior to the issuance of the Rebate Report specified in proposed 428.401(c) for an applicable period (that is, approximately 8 months after the end of the applicable period unless otherwise specified)

To do so, in accordance with the statute, for each applicable calendar quarter, CMS proposes to identify drugs and biological products with Part B average total allowed charges for a year per individual that uses such a drug or biological product below the applicable threshold