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This rule requires Medicare Advantage organizations, state Medicaid/CHIP programs, Medicaid managed care plans, and QHP issuers to implement operational PA reforms, including: (a) shortened PA decision timelines 72 hours for expedited requests and 7 calendar days for standard requests (reduced from the previous 14 days)

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However, the need for weekly self-administered injections has remained a significant obstacle for numerous patients seeking bariatric and metabolic health assistance

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