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We thank commenters for their feedback suggesting various changes for the equitable and adequate provision of home health aide services, as well as for payment reform, recruitment, and retention strategies, improved inter-program coordination between Medicare and Medicaid, and an overall shift in how the value of home health aide services is recognized, how home health aides are compensated, and how home health aide services are effectively integrated into plans of care

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The conclusion was straightforward: the products were intended for human therapeutic use regardless of what the label said