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We remind commenters that we stated in the CY 2023 HH PP final rule (87 FR 66852) that we believe that the 5-percent cap on wage index decreases is an adequate safeguard against any significant payment reductions and that the 5-percent threshold effectively mitigates any significant decreases in an HHA's wage index for future calendar years, while still balancing the importance of ensuring that area wage index values accurately reflect relative differences in area wage levels

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