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Therefore, we proposed to revise the definition of a beneficiary eligible for Medicare CQMs, at 425.20, for performance year 2025 and subsequent performance years, to require at least one primary care service with a date of service during the applicable performance year from an ACO professional who is a primary care physician or who has one of the specialty designations included in 425.402(c), or who is a physician assistant, nurse practitioner, or clinical nurse specialist

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