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[506] We proposed that hospitals in Maryland, which are currently paid under the Maryland Total Cost of Care Model, would be exempted from this data collection requirement during the performance period of that Model

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A commenter requested clarification on double counting, benchmarking, and reporting for patients with behavioral health needs

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Common symptoms include: Achy joints (arthralgia) Fever higher than 100 F Swollen joints (arthritis) Constant or severe fatigue Skin rash Ankle swelling Pain in your chest when breathing deeply (pleurisy) A butterfly-shaped rash across your cheeks and nose (malar rash), which may appear dark purple or dark brown on dark skin but red or pink on light skin Hair loss Sensitivity to the sun or other lights Seizures Mouth or nose sores Pale or purple fingers or toes when youre cold or stressed (Raynaud's phenomenon) Early lupus symptoms The early stages of lupus typically dont exhibit a consistent pattern of symptoms