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After reviewing these approvals, CMS has determined these programs were funded entirely without federal Medicaid funds prior to those approvals, and the addition of federal Medicaid funding does not render these programs as integral components of section 1115 demonstration programs, the agency said in a letter (PDF) to states

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Sarawi WS, Alhusaini AM, Fadda LM, Alomar HA, Albaker AB, Aljrboa AS, et al

2 HIV infection leads to a deficiency in CD4+ T cells and eventual loss of immunity, causing increased susceptibility to opportunistic pathogens