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For these reasons, we do not anticipate that expanding the definition of intermediate risk for hepatitis B vaccine will result in a significant financial impact to the Medicare Program

A make-up session in MDPP was described in CY 2018 PFS final rule (82 FR 53241) and at 410.79(a) as a core session or a core maintenance session furnished to an MDPP beneficiary when the MDPP beneficiary misses a regularly scheduled core session or core maintenance session. The 2024 CDC DPRP Standards allow for National DPP make-up sessions to be furnished using any delivery mode, including online

Overall vaccination rates among adults, including older adults, are generally low

We anticipate potential changes to primary care coding and payment policies, such as use of coding that recognizes groups of services furnished over a fixed time period, that would offer a new opportunity within the PFS for primary care clinicians to move to payment structures that are not fully dependent on billing for each discrete component of overall care and act as a step toward accountability for the cost and quality of patient care