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We also confirmed that that the Extended flexibilities would continue to only apply to MDPP suppliers that have and maintain CDC DPRP in-person recognition, and that virtual only suppliers were not permitted to furnish the Set of MDPP services because MDPP beneficiaries may elect to return to in-person services, and MDPP suppliers need to be able to accommodate their request (88 FR 79248)

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(20) How can the model proactively address concerns related to increased consolidation, ensuring that integration efforts do not lead to reduced ( competition and potential negative impacts on healthcare quality and costs