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Beginning in the CY 2026 performance period/2028 MIPS payment year, such a group TIN will be considered a multispecialty group using the definition described under 414.1305

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of this proposed rule, for agreement periods beginning on January 1, 2024, and in subsequent years, in computing an ACO's historical benchmark, CMS determines the per capita Parts A and B fee-for-service expenditures for beneficiaries that would have been assigned to the ACO in any of the 3 most recent years prior to the start of the agreement period using the ACO participant TINs identified before the start of the agreement period as required under 425.118(a) and the beneficiary assignment methodology selected by the ACO for the first performance year of the agreement period as required under 425.400(a)(4)(ii)