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Rather than characterizing this proposal as a presumption, we are taking the view that when the patient's medical record includes a signed and dated written order or referral indicating the type of therapy needed, CMS (and our contractors) would treat the signature on the order or referral as equivalent to a signature on the plan of treatment

Different nations have distinct protocols, prayers, and meanings attached to these practices

Nationally, the rate was 6.0%.2 Other tobacco product use: Arkansas Vaping rates in Arkansas In 2018, 7.0% of adults in Arkansas used e-cigarettes In 2020, 6.8% of adults in Arkansas used smokeless tobacco.3 In 2019, 24.3% of high school students in Arkansas used electronic vapor products on at least one day in the past 30 days

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