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For example, similar to how the ADI is used in the underserved multiplier as part of the calculation of the health equity adjustment to an ACO's MIPS Quality performance category score (87 FR 69838 through 69857 and 88 FR 79114 through 79117), we are considering taking the higher of either the proportion of the ACO's assigned beneficiaries residing in a census block group with an ADI national percentile rank of at least 85 or the proportion of the ACO's assigned beneficiaries who are enrolled in the Medicare Part D LIS or dually eligible for Medicare and Medicaid to determine eligibility for and the amount of any health equity benchmark adjustment

Therefore, we are not adjusting the burden per MVP registration from the currently approved registration time of 15 minutes (0.25 hr) (88 FR 79443 and 79444)

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This new guidance replaces FDAs previous draft from April 2022, fulfilling a mandate under the Food and Drug Omnibus Reform Act of 2022 (FDORA) to outline the structure and details of Diversity Action Plans (892)(893)