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(c) Improvement Activities Performance Category We refer readers to 414.1355 and 414.1360 and the CY 2017 Quality Payment Program final rule (81 FR 77177 and 77178), CY 2018 Quality Payment Program final rule (82 FR 53648 through 53661), CY 2019 PFS final rule (83 FR 59776 and 59777), CY 2020 PFS final rule (84 FR 62980 through 62990), CY 2022 PFS final rule (86 FR 65462) and the CY 2024 PFS final rule (88 FR 79328) for a description of previously established policies related to the improvement activities performance category