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For the CY 2019 performance period/CY 2021 MIPS payment year through CY 2021 performance period/2023 MIPS payment year, section 1848(q)(6)(D)(iv) of the Act required that we methodically increase the performance threshold each year to ensure a gradual and incremental transition to the performance threshold we estimated would be applicable in the CY 2022 performance period/2024 MIPS payment year