With admissions on or after July 1, 1995, substance use disorder rehabilitation services, authorized beneath § 199.6, are subject to the DRG-based cost system. Psychiatric and rehabilitation models . Prior to implementation of the IRF PPS methodology described in paragraph of this part, a rehabilitation unit which is exempt from the Medicare potential cost system can be exempt from the TRICARE DRG-based cost system. A psychiatric unit which is exempt from the Medicare potential payment system can be exempt from the TRICARE DRG-based cost system. All companies associated to discharges involving youngsters who have been decided to be HIV seropositive .
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Further, through the pendency of any such request, the matter that’s the subject of the request shall not be thought-about a failure of a producer to honor a requirement or an settlement for purposes of paragraph . The designation of a drug as a generic, for the aim of making use of cost-shares at the generic rate, will be determined by way of the use of commonplace pharmaceutical references as part of industrial finest business practices. Pharmaceutical brokers will be designated as generics when listed with an “A” ranking within the current Approved Drug Products with Therapeutic Equivalence Evaluations published by the Food and Drug Administration, or any successor to such reference.