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This commenter also recommended that we remove the criteria in the question “Has your facility executed plans to reduce fleet emissions (either from reducing miles or replacing with electric vehicles [EVs])?” which would reduce the question to “Has your facility executed plans to reduce fleet emissions?” The commenter believes that removing the criteria, additional emission reduction plans can be included

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In the FY 2021 IPPS/LTCH PPS final rule (85 FR 58842), we also finalized an adjustment to the payment amount for applicable clinical trial and expanded access use immunotherapy cases that group to MS-DRG 018, and indicated that we would provide instructions for identifying these claims in separate guidance