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This includes updating references to the performance-based payments for attendance and ongoing maintenance sessions, which were both removed from the 2024 MDPP Fee Schedule by the CY 2024 PFS final rule (88 FR 79252), as well as including the clarification that suppliers can offer MDPP sessions via distance learning, a flexibility extended by the CY 2024 PFS final rule (88 FR 79241), where applicable

Thats much higher than the 11.5% national average the agency reported for 2021

You can feel free to sit the pipe smoke well on pipe holder, perfect to match up with your classical smoke pipes