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For example, with respect to the CY 2026 performance period/2028 MIPS payment year, a MIPS eligible clinician, group, or APM Entity that chooses to report the APP Plus quality measure set would be required to report all nine MIPS quality measures (to the extent applicable and available): the nine measures are the six measures incorporated from the APP quality measure set and the three additional Universal Foundation measures we are proposing to incrementally adopt in the APP Plus quality measure set in the CY 2025 and 2026 performance periods/2027 and 2028 MIPS payment years

Smokers Etc sits in Stow, Ohio, and the border between Stow and Cuyahoga Falls isnt some far-off line on a map

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Like Virginia these are all different