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(2) Allow Modifications to the Certified ACO Participant List for ACO Participant CHOWs During a Performance Year As we described in the CY 2026 PFS proposed rule (90 FR 32660 through 32661), we recognize that requiring ACOs to wait until the upcoming change request cycle each performance year to update their certified ACO participant list to reflect an ACO participant's CHOW can, in some cases, present operational difficulties for ACOs

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A few commenters supported the use of PRO-PMs in the ASM heart failure quality measure set