In its April 10 news release, CMS cited examples of spending that fall outside Medicaids core scope: $20 million in broadband grants for rural healthcare providers in North Carolina $241 million in nonmedical in-home support programs in New York CMS says these initiatives distract from the core mission of Medicaid and sometimes serve as an overly creative financing mechanism to skirt state budget responsibilities. The Bigger Picture: Budget Pressures The same day CMS issued this notice, House Republicans passed the Senates FY 2025 budget blueprint, directing the House Energy and Commerce Committee to identify $880 billion in federal healthcare cutsa target widely expected to affect Medicaid programs disproportionately

The female mice (homozygous for Hba tm1(HBA)Tow and heterozygous for Hbb tm2(HBG1,HBB*)Tow and Hbb tm3(HBG1,HBB)Tow [h/h:: A / S ], sickle-cell trait mice) and male mice (homozygous for both Hba tm1(HBA)Tow and Hbb tm2(HBG1,HBB*)Tow [h/h:: S / S ], sickle SCD mice) were bred to generate SCD mice
doi: 10.1677/joe.0.1600075 41 WeberPSToelboellTChangLCTirrellJDSaamaPMSmithGWet al
If a patient experienced dizziness that led to syncope AND continues to have dizziness after regaining consciousness, you can code: R55 (principal) for the syncope event R42 (secondary) for the ongoing dizziness Do not code both if the dizziness was only prodromal (leading up to the syncope) and resolved