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ARB might grow in the biofilm during the GAC filtration step and although these bacteria are not necessarily directly harmful, they can pass down their resistance to harmful bacteria using horizontal gene transfer

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[411] Response: CMS shares the commenters' interest in ensuring the consistency of policies that span across HHS and other agencies

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Due to the modifications to 425.512(a)(5)(iii)(B) above, we are also finalizing to add a new paragraph (a)(5)(iii)(C) to 425.512 to indicate that for performance year 2027 and subsequent performance years, an ACO will not meet the quality performance standard or the alternative quality performance standard if the ACO does not report any of the eCQMs/Medicare CQMs in the APP Plus quality measure set and does not administer a CAHPS for MIPS survey (except as specified in 414.1380(b)(1)(vii)(B) of this subchapter)