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We are finalizing the following revisions to the Shared Savings Program quality EUC regulation at § 425.512(c) as proposed: We are revising paragraph (c)(1) introductory text to read as follows, “CMS determines the ACO was affected by an extreme and uncontrollable circumstance based on any of the following:” We are adding a new paragraph (iii) to (c)(1) to establish that for performance year 2025 and subsequent performance years, the ACO, as defined at § 425.20, is affected by an extreme and uncontrollable circumstance due to a cyberattack, including ransomware/malware, as determined by the Quality Payment Program