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We also refer readers to 414.1305 for the definition of attestation, 414.1325 for data submission requirements, and 414.1380(b)(4) for Promoting Interoperability performance category scoring

[1] Often drier snuffs are ground more finely

Smokeless tobacco products, such as chewing tobacco and snuff, can also cause serious detrimental health effects and lead to diseases, including cancer

Because significant changes or errors can have an ongoing impact on a measure beyond a single performance period, we are proposing that the new cost measure exclusion policy at 414.1380(b)(2)(v)(B) allow us to exclude cost measures when such changes and errors occur outside of the performance period, but otherwise affect the performance period