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We solicited comments on the above proposal to modify the MVP participant definition at 414.1305 by adding the term multispecialty group that meets the requirements of a small practice to maintain the MVP group reporting option for groups with a small practice designation

We recognize that our proposed policy to base the ASM data sharing opt-out policy on HIPAA requirements in 45 CFR 164.522 may have caused confusion, as it was intended to reduce (not increase) the burden on clinicians whose patients request to restrict data sharing under ASM

In newly redesignated paragraph (b)(4) adding paragraph (b)(4)(iii)