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* * * * * (3) * * * (ii) If the plan of treatment is established by a physical therapist, occupational therapist, or speech-language pathologist, the certification must be signed by a physician or by a nurse practitioner, clinical nurse specialist, or physician assistant who has knowledge of the case, except as specified in paragraph (c)(5) of this section

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Kennedy said his goal at HHS is to focus on the chronic disease epidemic and deliver effective services for those who rely on Medicare, Medicaid and other services by cutting costs to taxpayers