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But total puffs and total cigarette volume were reduced even in this hard-to-treat population

Specifically, we are proposing that, beginning with the CY 2024 performance period/2026 MIPS payment year, we may reweight one or more of the performance categories (specifically, quality, improvement activities, or Promoting Interoperability), where we determine, based on information submitted to us on or before November 1st of the year preceding the relevant MIPS payment year, that data for a MIPS eligible clinician are inaccessible or unable to be submitted due to circumstances outside of the control of the clinician because the MIPS eligible clinician delegated submission of the data to their third party intermediary, evidenced by a written agreement between the MIPS eligible clinician and third party intermediary, and the third party intermediary did not submit the data for the performance category(ies) on behalf of the MIPS eligible clinician in accordance with applicable deadlines

We note that 410.63(a)(3) provides an exception to individuals considered intermediate or high risk of contracting hepatitis B

At 410.79(b), we propose to update the definition for the Set of MDPP services to remove the reference to ongoing maintenance sessions