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Based on the quality measures finalized for the APP Plus quality measure set that Shared Savings Program ACOs are required to report beginning in performance year 2025 (89 FR 98128 through 98130), ACOs that report eCQMs will receive the Complex Organization Adjustment to their MIPS quality performance category score on up to four measures (that is, four points) in performance year 2025, 5 measures (that is, 5 points) in performance year 2026, and 6 measures (that is, 6 points) in performance year 2027, if each eCQM meets the case minimum requirement at § 414.1380(b)(1)(iii) and the data completeness requirement at § 414.1340