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Expanded HHVBP Model In the CY 2022 HH PPS final rule (86 FR 62292 through 62336) and codified at 42 CFR part 484 subpart F, we finalized our policy to expand the HHVBP Model to all Medicare certified HHAs in the 50 States, territories, and District of Columbia beginning January 1, 2022
Reference: Chen, T.-H., Wang, H.-C., Chang, C.-J., & Lee, S.-Y

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This means you might tolerate a higher dose during those times without experiencing side effects

Rest: Take it easy and avoid strenuous activities