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For an OTP to participate and receive payment under the Medicare program, the OTP must be enrolled in Medicare under section 1866(j) of the Act, have in effect a certification by SAMHSA for such a program, and be accredited by an accrediting body approved by SAMHSA

Commenters also reiterated that teaching physicians should be allowed to determine when their virtual presence would be clinically appropriate, based on their assessment of the patient's needs and the competency level of the resident, noting that the Accreditation Council for Graduate Medical Education (ACGME) rules allow teaching physicians to concurrently monitor patient care through appropriate telecommunication technology when the teaching physician and/or patient is not physically present with the resident, in all geographic locations

Then, they get regular doses to keep levels right

CMS is finalizing regulations for the JW modifier used to report discarded amounts of drugs, and the new JZ modifier for attesting that there were no discarded amounts