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We recognize data showing that suicide by intentional overdose is a growing concern, particularly among young people, older people, and Black women, although researchers acknowledge the complexities of distinguishing intentional from unintentional death

This is due to the fact that theres no way to differentiate between current impairment and the detection of drug metabolites that remain in the system for a longer period of time

of this proposed rule proposes to revise 423.160(a)(5) to specify that prescriptions written for a beneficiary in a long-term care (LTC) facility would not be included in determining CMS EPCS Program compliance until January 1, 2028, and that compliance actions against prescribers who do not meet the compliance threshold based on prescriptions written for a beneficiary in a LTC facility would commence on or after January 1, 2028

Because the regulatory requirements at 491.9 States that RHCs must provide H&H lab tests on-site, RHCs must have and maintain the appropriate equipment to perform these tests, even if the equipment is not utilized