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We seek comment on our proposals to extend the date after which prescriptions for covered Part D drugs for Part D eligible individuals in LTC facilities would be included in our CMS EPCS Program compliance threshold calculation from January 1, 2025, to January 1, 2028, and that related non-compliance actions would commence on or after January 1, 2028

Lastly, as applicable Part B cost sharing would apply for HCPCS code GFCI1, we are proposing to require the treating practitioner to obtain verbal (or written) beneficiary consent in advance of furnishing the services described by GFCI1, which would be documented by the treating practitioner in the medical record, similar to the conditions of payment associated with care management and other non-face-to-face services paid under the PFS

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(viii) If the quality measure addresses a measurement gap

We believe the services billed under this code reflect the types of services we expect primary care providers to provide in order to improve care coordination and care management