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Certain Medications: Certain conditions impair nutrient absorption, such as celiac disease, Crohns disease, and certain gastrointestinal surgeries, which can lead to vitamin B6 deficiency

We received no comments addressing the proposed change in the regulations at 425.650(a), and we are finalizing this technical change without modification

This pain can vary in intensity and duration and is often described as a sharp, intense tightening or knotting sensation in the affected muscle

The third time that an ACO's benchmark is adjusted based on the ACO's regional service area expenditures, CMS calculates the regional adjustment using the 50 percent of the difference between the average per capita amount of expenditures for the ACO's regional service area and the average per capita amount of the ACO's rebased historical benchmark if the ACO is determined to have lower spending than the ACO's regional service area ( 425.656(e)(3)(i))

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