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Proposed Modification to the Rural Wage Index Calculation Methodology As discussed in section III.G.1 of the preamble of this proposed rule, CMS has taken the opportunity to revisit the case law, prior public comments, and the relevant statutory language with regard to its policies involving the treatment of hospitals that have reclassified as rural under section 1886(d)(8)(E) of the Act, as implemented in the regulations under 42 CFR 412.103

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This prevents bacterial growth, making it suitable for multi-dose applications and safe for mixing or diluting injectable medications

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