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This measure's importance has also been signaled as important and relevant with its inclusion in the CMS Universal Foundation of Quality Measures
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Comment: A few commenters noted that vendor and PHA onboarding issues could persist beyond CY 2026, preventing MIPS eligible clinicians, eligible hospitals, and CAHs from advancing to Option 2 of active engagement in a timely manner and requested that CMS suppress the requirement that MIPS eligible clinicians, eligible hospitals, and CAHs may only spend one performance period in Option 1 (Pre-Production and Validation) before progressing to Option 2 (Validated Data Production)
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