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However, we recognize that there may be increased burden with increased reporting requirements, and while the APP Plus quality measure set is optional for MIPS APM participants, we acknowledge that the reporting of all measures within the set is a requirement that follows on to the choice to use it, and further we recognize that the use of the APP Plus quality measure set will be required for Shared Savings Program ACOs

Section 425.610 is amended by revising paragraph (a)(2)(ii)(C) to read as follows: Calculation of shared savings and losses under the ENHANCED track

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