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[DOI] [PMC free article] [PubMed] [Google Scholar] [266].Bedard K, Krause KH

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Another commenter expressed concern that less publicized extraordinary circumstances will not prompt CMS to issue an ECE without request, and that the process to submit an ECE request via the HQR portal, email, or secure fax may be unavailable if an emergency event severely disrupts operations for months

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