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This is a fundamentally different game than a urine test
This article has been updated periodically to reflect current understanding, but the core experiences shared here remain consistent for many people quitting smokeless tobacco
No lighters, no spitting, and no extra gear required
(c) * * * (3) * * * (iv) For performance year 2025 and subsequent performance years, if the ACO reports the APP Plus quality measure set and meets the data completeness requirement at 414.1340 of this subchapter and receives a MIPS Quality performance category score under 414.1380(b)(1) of this subchapter, CMS will use 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
Again, notwithstanding the temporary measures implemented in response to the PHE for COVID-19, we have established this immediate availability requirement to mean in-person, physical, not virtual, availability (please see the April 6, 2020 IFC (85 FR 19245) and the CY 2022 PFS final rule (86 FR 65062))
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