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Within 425.640(c)(2), we specify, for an ACO that renewed to enter an agreement period beginning on January 1, 2025, to obtain a determination regarding ( whether the ACO may receive prepaid shared savings, the ACO must submit to CMS a complete supplemental application for prepaid shared savings prior to the start of the performance year beginning on January 1, 2026, in the form and manner and by a deadline specified by CMS

Specifically, we are finalizing that, beginning with the 2026 MIPS payment year, for each cost measure, we will determine 10 benchmark ranges based on the median cost of all MIPS eligible clinicians attributed the measure, plus or minus standard deviations, and we will award achievement points based on which benchmark range a MIPS eligible clinician's average cost for a cost measure corresponds