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Commenters stated that furnishing IVIG in the home would be overly burdensome on HHAs who may already be challenged by staffing shortages or who may not be “equipped to infuse the product, for example, being unable to secure experienced infusion nurses.” Other commenters questioned whether the beneficiary could receive IVIG as an outpatient under Part B (that is, at the physician's office or infusion center), stating the beneficiary would have to switch to another agency or a home infusion therapy supplier if their HHA does not have staff who are able to administer the product

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