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(c) FQHC Practitioner Contract Labor Costs To calculate FQHC Practitioner Contract Labor Costs, we propose to use a similar methodology as used to calculate FQHC Practitioner Wages and Salaries and FQHC Practitioner Employee Benefit Costs

These beneficiaries are those who received at least one primary care service during the assignment window or applicable expanded window for assignment (as defined in 425.20) from a physician who is an ACO professional in the ACO and who is a primary care physician as defined under 425.20 or who has one of the primary specialty designations included in 425.402(c), a FQHC or RHC that is part of the ACO, or an ACO professional in the ACO whom the beneficiary designated as responsible for coordinating their overall care under 425.402(c)

Given issues with underlying data in prior periods due to the COVID-19 pandemic, we believe that we should wait for more recent data that better reflects clinicians' performance and continue to rely on data from the CY 2017 performance period/2019 MIPS payment year, which predated the COVID-19 PHE

The formula Y = X + was used, where Y represents the Log10 (ASR) value, and X denotes the calendar year