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A few commenters pointed out that some patients with a single, but very serious condition, may require significantly more resources than patients with multiple chronic conditions that are stable or less severe

It is a booster, and doctors typically give it to children over 7 years old

We also established at 414.1350(c)(6) a case minimum of 20 episodes for chronic condition episode-based measures in the CY 2022 final rule (86 FR 65453 through 65455)