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Our approach to engagement is outlined in the CY 2018 Quality Payment Program final rule (82 FR 53644 and 53645), the CY 2019 PFS final rule (83 FR 59767 through 59769), the CY 2022 PFS proposed rule (86 FR 39396 and 39397), and the CY 2024 PFS proposed rule (88 FR 52568 through 52576)

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Thus, many of these benefits associated with telehealth flexibilities for initiating treatment with other MOUDs can be potentially replicated by allowing initiation of treatment with methadone via audio-visual telecommunications

We are adding new paragraph (c)(3)(iv) to 425.512 to establish for performance year 2025 and subsequent performance years, if CMS determines the ACO meets the requirements of the Extreme and Uncontrollable Circumstances policy and the ACO reports the APP Plus quality measure set, meets the data completeness requirement, and receives a MIPS Quality performance category score, CMS will calculate the ACO's quality score as the higher of the ACO's health equity adjusted quality performance score or the equivalent of the 40th percentile MIPS Quality performance category score across all MIPS Quality performance category scores, excluding entities/providers eligible for facility-based scoring, for the relevant performance year