(b) Proposal To Establish a Complex Organization Adjustment for Virtual Groups and APM Entities To account for the organizational complexities faced by Virtual Groups and APM Entities, including Shared Savings Program ACOs, when reporting eCQMs, in section IV.A.4.f.(1)(b)(iii) of this proposed rule, we are proposing to establish a Complex Organization Adjustment beginning in the CY 2025 performance period/2027 MIPS payment year
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To be consistent with SAMHSA's reforms to telehealth flexibilities for initiation of treatment with methadone at 8.12(f)(2)(B)(v), past conforming regulations under the Medicare OTP benefit to allow telecommunication flexibilities for initiation of treatment with buprenorphine, and to contribute towards efforts to reduce barriers in accessing care for Medicare beneficiaries seeking treatment with methadone, we are proposing to make similar telecommunication flexibilities under the Medicare OTP benefit