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In regard to the comment requesting that CMS require MIPS eligible clinicians, eligible hospitals, and CAHs to submit a rationale for not being able to meet the requirements of measure prior to a measure being suppressed, we note that the suppression of a measure applies to all MIPS eligible clinicians meeting the requirements of the MIPS Promoting Interoperability performance category, and eligible clinicians and CAHs participating in the Medicare Promoting Interoperability Program