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Because those suggestions are outside the scope of our proposed rule, no further response is required

The LTCH QRP, as required for FY 2014 and subsequent fiscal years by section 1886(m)(5)(A)(i) of the Act, applies a 2.0 percentage points reduction to any update under 42 CFR 412.523(c)(3) for an LTCH that does not submit quality reporting data to the Secretary in accordance with section 1886(m)(5)(C) of the Act with respect to such a year (that is, in the form and manner and at the time specified by the Secretary under the LTCH QRP) (42 CFR 412.523(c)(4)(i))

Sadiq et al., 2000)

However, there are limitations: A significant limitation of our study is the reliance on participants self-reported history of eye surgeries to determine the presence of cataracts