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This isn't a trend or an unproven supplement

If you're at risk of a B12 deficiency, you can usually take a supplement

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Hence, if a Medicaid member has claims or encounters in two or three counties, if the member receives the highest percentage of claims in the sole PPS counties, relative to any other county they have received services in (regardless of the logic hierarchy), that member will be attributed to the sole PPS for valuation calculations