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We stated in the CY 2026 PFS proposed rule (90 FR 32680) that with the proposed removal of Quality ID: 487 Screening for Social Drivers of Health from the APP Plus quality measure set as described in the CY 2026 PFS proposed rule (90 FR 32705 and 32706) and Table Group C in Appendix 1), we proposed that the APP Plus quality measure set for Shared Savings Program ACOs would include ten measures (seven eCQMs/Medicare CQMs, two administrative claims-based measures, and the CAHPS for MIPS Survey measure) beginning with performance year 2028 or the performance year that is 1 year after the eCQM specification becomes available for Quality ID: 493 Adult Immunization Status, whichever is later