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Many commenters agreed that this measure no longer aligns with an urgent public health priority or provides meaningful or actionable data for quality improvement

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It used a ShapiroWilk test to assess normality and an F-test to assess homoscedasticity, and attempted log-transformation to resolve any lack thereof 40

A few things to verify before billing Medicaid for any injection: State-level NCCI edits may differ from Medicare NCCI edits, so verify which NCCI version applies in your state Some states require prior authorization for GLP-1 agents, biologics, and extended-release injectables even when the federal Medicare standard doesn't Managed Medicaid plans operate under commercial contracts that often have different coverage rules than fee-for-service Medicaid Medicaid prior authorization requirements for injectable drugs are among the most variable in the payer landscape

Follow-up care also involves monitoring for symptoms related to B12 deficiency, such as fatigue, weakness, and neurological changes, to assess the effectiveness of treatment