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This commenter noted that in the preamble language CMS references the pre-CARES Act requirements that these functions are limited to a physician and wanted to ensure that nurse practitioners (NPs), clinical nurse specialists (CNSs) and physician assistants (PAs) are authorized to establish, review, and certify home health plans of care that include dNPWT, and that home health beneficiaries receiving dNPWT are authorized to be under the care of an NP, CNS, or PA

PMID: Summary Keywords autoimmune diseases, butyrate, clostridium, immune interaction, immunotherapy Citation Zhan J-Y, Wang W-R, Zhan T, Yang J-Y, Liang Y, Yu R-H and Wang X-H (2026) Recent advances in the positive role of Clostridium in autoimmune diseases: as a crucial regulator of restoring immune-metabolic equilibrium

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Those new users can also be taken through a step-by-step process to prevent mistakes