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To utilize the same file format requirements currently applied in the Hospital IQR, OQR, and Medicare Promoting Interoperability Programs (85 FR 58940, 86 FR 42262, and 80 FR 49706, respectively), in the CY 2026 OPPS/ASC proposed rule (90 FR 33775), we proposed the file format requirements for the REHQR Program beginning with the CY 2027 reporting period/CY 2029 program determination