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Centers for Medicare & Medicaid Services Quality Payment Program
* MIPS Value Pathways (MVP) Candidate Feedback Period Open for 45 Days [ #link_1 ]
* Reminder: MVPs Maintenance Process [ #link_2 ]
* Reminder: 2024 QPP Exception Applications are Available [ #link_3 ]
* Visit the Quality Payment Program (QPP) Resource Library to Access Updated 2024 Qualified Clinical Data Registry (QCDR) Qualified Posting [ #link_4 ]

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MIPS Value Pathways (MVP) Candidate Feedback Period Open for 45 Days

The public has an opportunity to provide feedback on the draft 2026 MVP candidates for 45 days before they’re potentially proposed in rulemaking. Today is the start of the 45-day feedback period for the 2026 rulemaking process.

*Review Posted MVP Candidates*

Visit the Quality Payment Program (QPP) Website [ https://qpp.cms.gov/mips/candidate-feedback ] to review the *6* proposed MVP candidates available for public feedback. CMS will accept feedback on these MVP candidates through *January 24, 2025*. Please note that posting an MVP candidate doesn’t guarantee the candidate will move forward in rulemaking.

We’ll display the feedback received related to each MVP candidate on the QPP website following the 45-day feedback period. CMS won’t respond directly to any feedback received but will review and determine whether to incorporate any recommended changes into an MVP candidate. If we determine changes should be made and the candidate will move forward through rulemaking, we won’t notify the group or organization that originally proposed the MVP candidate in advance of rulemaking.

*Submit Your Feedback*

By providing feedback, you’re participating in the future of MIPS and development of MVPs. This is your opportunity to ensure MVPs align with your clinical practice needs, support your practice and patient goals, and improve the assessment of quality of care. MVP feedback should be submitted to PIMMSMVPSupport@gdit.com for consideration by 11:59 p.m. ET on January 24, 2025. Please include the following information in the email:


* Subject Line: Draft 2026 MVP Candidate Feedback
* Email Body: Feedback for consideration and public posting. Please indicate the MVP to which your comment relates.

Visit MVP Candidate Feedback webpage [ https://qpp.cms.gov/mips/candidate-feedback ] for more information.

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Reminder: MVPs Maintenance Process

CMS continues to solicit recommendations for potential updates to MVPs previously finalized for implementation through the 2025 MIPS performance period.

We’re accepting recommendations from the general public on a rolling basis for 21 previously finalized MVPs. You can review the previously finalized MVPs on the Explore MVPs webpage [ https://qpp.cms.gov/mips/explore-mips-value-pathways?py=2024 ].

We’ll determine whether to address recommendations to change a previously finalized MVP through future notice and comment rulemaking. For example, recommendations to add or remove a quality measure or improvement activity.

We’re unable to communicate with the public about whether their recommendations will be accepted ahead of rulemaking. CMS is responsible for determining whether previously finalized MVPs should be updated through future notice and comment rulemaking.

The MVP maintenance process doesn’t include recommended changes to existing individual MIPS measures and improvement activities. Changes to individual MIPS measures and improvement activities are made through separate established processes, such as rulemaking and the annual Call for Measures and Activities and would then be reflected within any previously finalized MVPs that included those measures and activities.

Requests for changes to previously finalized MVPs should be submitted to PIMMSMVPSupport@gdit.com for consideration. At a minimum, please provide the title of the finalized MVP and a short description of the proposed change(s) by performance category as organized in the table below and on the Maintenance Process for MVPs webpage [ https://qpp.cms.gov/mips/mvp-maintenance-process ] and in the 2025 MIPS Value Pathways (MVPs) Maintenance Process (PDF, 243KB). [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/3103/2025MVPsMaintenanceProcess.pdf ] [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/3103/2025MVPsMaintenanceProcess.pdf ]

 

*MVP Title: *



*Performance Category*



*Requested Change and Rationale*



Quality             



 



Improvement Activities 



 



Cost      



 



Foundational Layer – Population Health



 



Foundational Layer – Promoting Interoperability



 



 

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Reminder: 2024 QPP Exception Applications are Available

The 2024 Quality Payment Program (QPP) Exception applications are available through *December 31, 2024, at 8 p.m. ET*. There are 2 types of exception applications that allow users to indicate the reason they’re unable to report data for one or more Merit-based Incentive Payment System (MIPS) performance categories.

*MIPS Promoting Interoperability Performance Category Hardship Exception Application*

Individual clinicians, groups, and virtual groups (or a third-party representative) can submit a MIPS Promoting Interoperability Performance Category Hardship Exception application for the following reasons:


* You have decertified Electronic Health Record (EHR) technology (must be decertified under the Office of the National Coordinator for Health Information Technology’s (ONC) Health IT Certification Program).
* You have insufficient internet connectivity.
* You face extreme and uncontrollable circumstances such as a disaster, practice closure, severe financial distress, or vendor issues.
* You lack control over the availability of certified EHR technology (CEHRT).

This application is specific to the MIPS Promoting Interoperability performance category. If your application is approved, you won’t be required to report data for this performance category.

*MIPS Extreme and Uncontrollable Circumstances Exception Application*

Individual clinicians, groups, and virtual groups (or a third-party representative) can submit a MIPS Extreme and Uncontrollable Circumstances (EUC) Exception application for one or more MIPS performance categories (quality, cost, improvement activities, and Promoting Interoperability) due to extreme and uncontrollable circumstances, defined as rare events entirely outside of your control and the control of the facility in which you practice.

These circumstances would:


* Cause you to be unable to collect information necessary to submit for a MIPS performance category.
* Cause you to be unable to submit information that would be used to score a MIPS performance category for an extended period of time (for example, if you were unable to collect data for the quality performance category for 3 months).
* Impact your normal processes, affecting your performance on cost measures and other administrative claims measures.

Alternate Payment Model (APM) Entities can submit applications as well, but they must apply for all performance categories.

If your application is approved, you won’t be required to report data for the performance category or categories included in your approved application. However, please note that data submission overrides approved reweighting on a category-by-category basis.  We’ll score any data you, or someone on your behalf, submits and those performance categories will contribute to your final score.

*How to Apply*

To submit either Exception application:


* Sign in to the QPP website [ https://qpp.cms.gov/login ] with your Health Care Quality Information System (HCQIS) Access Roles and Profile (HARP) account.
* Choose “Exceptions Application” from the left-hand navigation.
* Click “Add New QPP Exception” on the right side of the screen.
* Choose your exception type.

*Additional Resources*


* Quality Payment Program Access User Guide (ZIP, 3MB) [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/2955/QPP-Access-User-Guide.zip ] – Refer to “Step 1: Register for a HARP Account”
* Exception Applications (webpage on the QPP website) [ https://qpp.cms.gov/mips/exception-applications?py=2024 ]
* 2024 MIPS Promoting Interoperability Hardship Exception Application Guide (PDF, 1MB) [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/2846/2024-MIPS-PI-Hardship-Exception-Application-Guide.pdf ]
* 2024 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide (PDF, 1MB) [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/2845/2024-MIPS-EUC-Exception-Application-Guide.pdf ]

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Visit the Quality Payment Program (QPP) Resource Library to Access Updated 2024 Qualified Clinical Data Registry (QCDR) Qualified Posting

The 2024 QCDR Qualified Posting has been updated to reflect new or removed remedial actions and/or terminations applied to the third party intermediaries included within this resource. Visit the QPP Resource Library [ https://qpp.cms.gov/about/resource-library ] to access the updated 2024 QCDR Qualified Posting and review the Version History tab for more detailed information regarding these updates.

Quality Payment Program [ https://qpp.cms.gov/resources/help-and-support ]


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