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We believe that ACOs with the experience or technical infrastructure to report MIPS CQMs may employ the same processes to report Medicare CQMs so long as the Medicare CQM population meets the definition of a “beneficiary eligible for Medicare CQMs.” Regarding the commenter's suggestion that CMS extend MIPS CQM reporting past performance year 2026, we note that we also stated that while we continue to believe that Medicare CQMs are a valuable transition step on our building-block approach for Shared Savings Program ACOs' progress to adopt digital quality measurement, under the policies we finalized in the CY 2025 PFS final rule (89 FR 98107), Shared Savings Program ACOs would continue to have the option to report the APP Plus quality measures using the MIPS CQM collection type for performance years 2025 and 2026