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These sessions must be furnished in a manner consistent with the DPRP Standards for the modality being used. Furthermore, we propose to remove the combination delivery term from 410.79(b), which was added in the CY 2024 PFS final rule (88 FR 79241) and is defined as MDPP sessions that are delivered by trained Coaches and are furnished in a manner consistent with the DPRP Standards for distance learning and in-person sessions for each individual participant. We believe that the MDPP combination delivery term and definition are no longer needed with the addition of in-person with a distance learning component, which includes any combination of in-person and distance learning sessions

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