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We proposed the following revisions to the Shared Savings Program regulation at § 425.512(b): We proposed to revise paragraph (b)(5)(iv) (which we proposed to redesignate as paragraph (b)(4)(iv)), to remove the reference to “paragraphs (c)(3)(ii) through (c)(3)(iv)” and add in its place reference to “paragraphs (c)(3)(ii) and (c)(3)(iii)” consistent with our proposal to limit the applicability of § 425.512(b) to performance years 2023 and 2024, as discussed in the CY 2026 PFS proposed rule (90 FR 32688 through 32690)

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[36] The MMACHC gene product catalyzes the decyanation of cyanocobalamin as well as the dealkylation of alkylcobalamins including methylcobalamin and adenosylcobalamin