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There is growing recognition that social risk factorssuch as income, education, access to food and housing, and employment statusplay a major role in health, [51] such that social risk factors may affect a person's ability to reach their health goals, as well as the diagnosis and treatment of their medical problems

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These crosswalks have been generally established through notice and comment rulemaking and are available in the file titled CY 2025 PFS proposed rule PE/HR on the CMS website under downloads for the CY 2025 PFS proposed rule at For CY 2025, we have incorporated the available utilization data for two new specialties, Marriage and Family Therapist (MFT) and Mental Health Counselor (MHC), which we recognized effective January 1, 2024, in accordance with section 4121 of the CAA, 2023