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      <news:publication_date>2026-10-22T11:45:35.169Z</news:publication_date>
      <news:title>Today in Direct Support: October 22, 2026</news:title>
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    <loc>https://directsupportnews.com/policy/maryland-dda-appeals-cms-reviews-90-day-deadline-misses</loc>
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      <news:publication_date>2026-10-22T11:45:34.080Z</news:publication_date>
      <news:title>Maryland DDA appeals: CMS reviews 90-day deadline misses</news:title>
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      <news:publication_date>2026-10-22T11:45:33.014Z</news:publication_date>
      <news:title>New York social adult day care: CMS demands a fix in 30 days</news:title>
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  <url>
    <loc>https://directsupportnews.com/policy/today-in-direct-support-2026-10-21</loc>
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      <news:publication_date>2026-10-21T13:31:23.364Z</news:publication_date>
      <news:title>Today in Direct Support: October 21, 2026</news:title>
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  <url>
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      <news:publication_date>2026-10-21T13:30:45.673Z</news:publication_date>
      <news:title>Ohio Medicaid audit: what it means for I/DD providers</news:title>
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      <news:publication_date>2026-10-21T11:38:53.874Z</news:publication_date>
      <news:title>New Hampshire: up to 29,000 may lose Medicaid by 2028</news:title>
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  <url>
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      <news:publication_date>2026-10-21T11:38:52.828Z</news:publication_date>
      <news:title>CRR: 12 of 234 HCBS waiver policies moved aide, nurse pay</news:title>
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      <news:publication_date>2026-10-21T11:38:51.380Z</news:publication_date>
      <news:title>Ohio: Champaign County DD levy on Nov. 3 ballot; cuts if it fails</news:title>
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    <loc>https://directsupportnews.com/agencies/oregon-9m-suit-alleges-abuse-at-state-sacu-crisis-home</loc>
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        <news:name>Direct Support News</news:name>
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      <news:publication_date>2026-10-21T11:38:50.363Z</news:publication_date>
      <news:title>Oregon: $9M suit alleges abuse at state SACU crisis home</news:title>
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  <url>
    <loc>https://directsupportnews.com/policy/california-cms-defers-1-2b-more-in-personal-care-funds</loc>
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      <news:publication_date>2026-10-21T11:38:49.029Z</news:publication_date>
      <news:title>California: CMS defers $1.2B more in personal care funds</news:title>
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