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We further finalized that such replacement codes would be incorporated into the definition of the primary care services for purposes of determining beneficiary assignment for the performance year, when the assignment window for a benchmark or performance year (as defined in 425.20) includes any day on or after the effective date of the replacement code for payment purposes under FFS Medicare

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of this proposed rule, we are proposing to clarify that we intend for the policy to apply beyond the CY 2023 and 2024 performance periods/2025 and 2026 MIPS payment years

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Burden estimates for this proposed rule assume group TIN-level reporting as we believe this is the most reasonable assumption for MIPS eligible clinicians in the Shared Savings Program, which requires that ACOs include full TINs as ACO participants