Exceptions to Average Sales Price (ASP) Payment Methodology – Claims Processing Manual Changes
The purpose of this Change Request (CR) is to update language in the Claims Processing Manual (100-04) Chapter 17 Section 20.1.3 - Exceptions to Average Sales Price (ASP) Payment Methodology and also to include updates to section 20.3. The updates pertain to Wholesale Acquisition Cost (WAC)-based contractor pricing, and payment for infusion drugs furnished through a covered item of durable medical equipment.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 25, 2022
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