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How should CMS account for varying levels of public health readiness and capacity for expanding conditions ( reported electronically, such as in rural areas

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We are revising 425.512(a)(2)(iii) to establish that, for performance year 2025 and subsequent performance years, an ACO in the first performance year of the ACO's first agreement period under the Shared Savings Program will meet the quality performance standard if the ACO reports the APP Plus quality measure set and meets the data completeness requirement on all eCQMs/Medicare CQMs, and the CAHPS for MIPS survey (except as specified in 414.1380(b)(1)(vii)(B)), and receives a MIPS Quality performance category score for the applicable performance year