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After consideration of public comments, we are finalizing as proposed to codify at § 414.1400(d)(9) to provide that, beginning with January 1, 2026, the entity seeking to be a CMS-approved survey vendor must include on its application the range of costs of its third party intermediary services and to codify at § 414.1400(d)(3)(iv)(A) to provide that, beginning on January 1, 2024, in addition to administering the survey in English, entities must administer the Spanish survey translation to Spanish-preferring patients

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Key Benefits: Supports mitochondrial energy production Helps combat fatigue and promote cellular resilience Provides antioxidant protection against oxidative stress Includes ElevATP, CoQ10, L-Carnitine, and glutathione How It Works: Mitochondrial Formula delivers key nutrients that target the mitochondria—the powerhouses of your cells