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These changes include requiring Shared Savings Program ACOs to report the APP Plus quality measure set beginning in performance year 2025, that will incrementally grow to comprise of 11 measures, consisting of the 6 measures in the existing APP quality measure set and 5 new measures from the Adult Universal Foundation measure set that will be incrementally incorporated into the APP Plus quality measure set over performance years 2025 through 2028 or the performance year that is one year after eCQM specifications become available for Quality ID: 487 Screening for Social Drivers of Health and Quality ID: 493 Adult Immunization Status, whichever is later