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(vi) In accordance with paragraph (a)(8) of this section, CMS redetermines the adjustment to the historical benchmark based on the redetermined regional adjustment (as specified under 425.656), the prior savings adjustment (as specified under 425.658), or the HEBA (as specified under 425.662) if applicable

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The latter provision expressly provides that CMS has sole discretion to determine whether good cause exists for reopening a payment determination

As we noted in the CY 2020 PFS final rule, utilization [of CCM services] has reached approximately 75 percent of the level we initially assumed under the PFS when we began paying for CCM services separately under the PFS

Additionally, tobacco stains the teeth and can irritate or harm gum tissue, causing swelling and tooth decay