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Response: For an applicable performance period/MIPS payment year or EHR reporting period, we will determine whether certain circumstances exist warranting suppression of a measure within the MIPS Promoting Interoperability performance category or Medicare Promoting Interoperability Program based on CMS' consideration of one or more of the following factors identified in the CY 2026 PFS proposed rule (90 FR 32733): The nature, breadth, and duration of the circumstance's effect on MIPS eligible clinicians', eligible hospitals', and CAHs' ability to fulfill the measure requirement