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This rule finalizes a permanent prospective adjustment to the CY 2024 home health payment rate to account for the differences between assumed and actual behavior changes on estimated aggregate expenditures

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Last updated on Mar 30, 2026

In cases where clinical suspicion remains high despite normal B12 levels, additional testing with methylmalonic acid (MMA) or homocysteine levels may be helpful, though availability is limited in the UK and results can be affected by renal function

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