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Description
The CY 2018 HH PPS proposed rule (82 FR 35320) and the technical report from December 2016, posted on the Home Health PPS Archive web page located at: provides a more detailed explanation as to the construction of these functional impairment levels using the OASIS items

We have rebased and revised the home health market basket periodically through the years since FY 2002

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Elevated homocysteine is a well-established indicator of impaired one-carbon metabolism and has mechanistic plausibility as a driver of neuroinflammation, oxidative stress, and mitochondrial dysfunction