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The Draft Standards include such flexibility. As described in the Staffing section (pages 3-4), "PROS providers must maintain an adequate and appropriate number of staff in proportion to the number of individuals served. Providers will be deemed to have met such standard if their staffing ratios, based on average attendance, are at least in accordance with the following..." Therefore, while providers meeting the .125 FTE standard for physician and nurse coverage will be "deemed" to be in compliance with the "adequate and appropriate" standard, this approach allows flexibility.
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Should the requirement of .125 FTE nurse and .125 physician for every 40 recipients be changed to something more flexible like "sufficient medical staff to meet the needs of program enrollees?
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