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The Agency , however , continued to argue ( and the GAO Report concurred ) that the look-behind provision only gave the Regional Administrator the authority to validate a State survey and terminate a facility on the basis of his findings ; it did not grant him authority to certify Winfield himself . Comment : A commenter criticized the percentage ( 1 % ) that we used to calculate the number of health care encounters expected to result in requests to withhold the release of protected information . Please click here to view the full topic text : Cutaneous Manifestations of Cholesterol EmbolismBackground : Cholesterol embolism ( CE ) , also known as atheroembolization , refers to the occlusion of small - and medium-caliber arteries ( 100-200 mm in diameter ) by cholesterol crystals . This evolution is synchronous with the deformation ( brittle to ductile ) developed in the rocks at Site 1117 that is considered to be caused by present-day extension . During development of the 12-in water hammer drill by SDS Digger Tools , ODP / TAMU ( Texas A & M University ) developed the supporting hardware required for the HDS system . The methods ( e.g ., Logg Frame Work introduced by Overseas Development Assistance ) used to evaluate credit programs place more emphasis on quantitative outcomes , such as repayment rates , than on qualitative changes . Their exact origin is problematic because of trace element signatures in volcanics that generally indicate an arc tectonic environment , although the same signature has recently been observed along a mid-ocean ridge ( the Chile Rise ) by Klein and Karsten ( 1995 ) . Consequently , we affirm our preliminary conclusion ( with which it now appears both parties substantially concur ) that the effect of the February 18 letter was to cut off immediately Winfield 's federal Medicaid participation . A second population was established in a nearby spring ( Dace Spring ) about 600 yards distant . and e. 8 / First , any inconsistency arising from treating accrued vacation leave as a cost or expense for purposes of Medicaid rate calculation , before that leave would be recognized as an expenditure in a general government fund , results because use of regular accrual accounting is specifically permitted ( indeed preferred ) by HCFA for that purpose . We need not disagree with the State 's position here ( nor , apparently , does the Agency 4 / ) that the effect of the termination order was to terminate the provider agreement for federal purposes so that FFP was immediately cut off . The syndrome was termed Crow-Fukase syndrome ( by which it is known in Japan ) by Nakanishi in a study of 102 cases in Japan . Each sample taken either for shipboard or shore-based analysis was logged into the ORACLE database ( JANUS ) by the location and the name of the investigator receiving the sample . This was because of contingencies ( see below ) that resulted in the limited time to achieve the primary objective of drilling the NERO hole .