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We are finalizing with modifications to add a new paragraph (b)(3) to 425.512 to establish for performance year 2025 and subsequent performance years that for an ACO that reports all of the required measures in the APP Plus quality measure set, meeting the data completeness requirement for all of the required measures in the APP Plus quality measure set, and administers the CAHPS for MIPS survey (except as specified in 414.1380(b)(1)(vii)(B)), CMS calculates the ACO's health equity adjusted quality performance score as the sum of the ACO's MIPS Quality performance category score for all measures in the APP Plus quality measure set and the ACO's health equity adjustment bonus points