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It requires payers to decide standard PAs within 7 days (down from 14), urgent PAs within 72 hours, and provide specific denial reasons

The result: an entire category of treatments that doctors had been prescribing legally for years became inaccessible through legitimate channels overnight

Some state programmes define H0032 billing in time-based units (e.g., per 15 minutes of service plan development activity), while others use per-encounter or flat-rate billing structures

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