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Specifically, we are finalizing, as proposed, the proposals in 414.1340(a), (b), and (d): At paragraph (a)(4), for the CY 2027 and CY 2028 performance periods/2029 and 2030 MIPS payment years, a MIPS eligible clinician, group, virtual group, subgroup, and APM Entity submitting quality measures data on QCDR measures, MIPS CQMs, or eCQMs must submit data on at least 75 percent of the MIPS eligible clinician, group, virtual group, subgroup, or APM Entity's patients that meet the measure's denominator criteria, regardless of payer

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We proposed at 428.401 the use of an initial Preliminary Rebate Report and a subsequent Rebate Report, with an ( opportunity for manufacturers to identify certain mathematical errors (see 428.403 and discussed in further detail later in this section) and two regular reconciliations of the rebate amount to account for updates to claims and payment data at 12 months and 36 months after the Rebate Report is issued as set forth in 428.401(d)