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At 425.610, we are adding a new paragraph (i)(4) to indicate the following: CMS determines the time period during which an ACO is affected by a cyberattack, including ransomware/malware, as follows: ++ We are specifying at 425.610(i)(4)(i), CMS uses the start and end date indicated on an ACO's application to the Quality Payment Program for an extreme and uncontrollable circumstance exception due to a cyberattack, including ransomware/malware, or the start date indicated on the application and an end date subsequently provided by the ACO in the form and manner as specified by CMS