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List of Subjects 42 CFR Part 405 Administrative practice and procedure Diseases Health facilities Health professions Medical devices Medicare Reporting and recordkeeping requirements Rural areas X-rays 42 CFR Part 410 Diseases Health facilities Health professions Laboratories Medicare Reporting and recordkeeping requirements Rural areas X-rays 42 CFR Part 414 Administrative practice and procedure Biologics Diseases Drugs Health facilities Health professions Medicare Reporting and recordkeeping requirements 42 CFR Part 424 Emergency medical services Health facilities Health professions Medicare Reporting and recordkeeping requirements 42 CFR Part 425 Administrative practice and procedure Health facilities Health professions Medicare Reporting and recordkeeping requirements 42 CFR Part 427 Administrative practice and procedure Biologics Inflation rebates Medicare Prescription drugs 42 CFR Part 428 Administrative practice and procedure Biologics Inflation rebates Medicare Prescription drugs 42 CFR Part 495 Administrative practice and procedure Health facilities Health maintenance organizations (HMO) Health professions Health records Medicaid Medicare Penalties Privacy Reporting and recordkeeping requirements 42 CFR Part 512 Administrative practice and procedure Health care Health facilities Health insurance Intergovernmental relations Medicare Penalties Privacy Reporting and recordkeeping requirements For the reasons set forth in the preamble, the Centers for Medicare & Medicaid Services amends 42 CFR chapter IV as set forth below: PART 405-FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED 1

Codes that describe new technologies or services within an appropriate time-period (such as 3 years) after the relative values are initially established for such codes

Another commenter suggested that CMS restructure payments for Online delivery to tie compensation directly to weight loss milestones, such as $500 for 5 percent weight loss and $268 for 9 percent loss rather than tying payments to lesson completion, or implementing a bundled payment model similar to Maryland Medicaid's approach with higher upfront enrollment payments to offset device distribution costs, reduced per-session fees, and maintained outcome-based bonuses

[10] Its administration during pregnancy carries potential risks to fetal development, and it is not indicated for use once pregnancy is confirmed