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Instead, we are proposing to establish the APP Plus quality measure set as a second, optional measure set that would be comprised of all of the measures in the existing APP quality measure set and would additionally incrementally adopt the remaining five Universal Foundation measures from the CY 2025 performance period/2027 MIPS payment year through the CY 2028 performance period/2030 MIPS payment year

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Therefore, we propose to include the allowed charges for HCPCS code GSPI1, for purposes of assigning beneficiaries to ACOs, only when billed with a service which is also included in the definition of primary care services

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