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Extended contact can cause trauma and irritation to the mouths soft tissues with many developing local bone loss and gum recession in the area where the ONP has been placed

Section 1899(i)(3) of the Act authorizes the Secretary to use other payment models, if the Secretary determines it is appropriate, and if the Secretary determines that doing so would improve the quality and efficiency of items and services furnished under Title XVIII and the alternative methodology would result in program expenditures equal to or lower than those that would result under the statutory payment model

Field was crushed but eventually got his mother to relent: If Nelson was fine with it, Field could go to the camp, she said