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A removable rock maple dowel, designed to wick away unwanted moisture and harshness from smoke, is pressure-fitted into the shank of each pipe and helps to reduce gurgling

We acknowledge that, even with a robust inventory of MVPs, there may be some clinicians who cannot submit an applicable MVP, as currently structured, due to lack of measures to build a respective MVP or lack of measure case counts or specialization that does not allow reporting of MVP quality measures and calculation of a cost measure

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We are confirming that only MDPP in-person, distance learning, and in-person with a distance learning component delivery modes, can be used during the extension of the flexibilities allowed under the COVID-19 PHE, as finalized in the CY 2024 PFS final rule (88 FR 79241), not online nor combination with an online component delivery modes