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The standard of care for Traumatic Brain Injury (TBI) and concussion has long relied on a "software-centric" model: symptom management, cognitive rest, and rehabilitative therapy

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Several commenters requested that CMS not finalize these proposals due to resource constraints, particularly for small and rural hospitals, and a few commenters indicated the proposed effective date of January 1, 2026, would make complying with the requirements, if finalized as proposed, especially challenging