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As the APP Plus is a new measure set, and optional, with exception to the Shared Savings Program ACOs, we are unable to estimate how many MIPS eligible clinicians would submit quality measures via the APP Plus at this time via individual, group, or non-Shared Savings Program ACO Entity reporting

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CMS will provide written notice to the ACO of the amount due and the ACO must pay such amount no later than 90 days after the receipt of such notification