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Centers for Medicare & Medicaid Services Quality Payment Program
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* Merit-based Incentive Payment System (MIPS) Automatic Extreme and Uncontrollable Circumstances (EUC) Policy Applied to MIPS Eligible Clinicians Following Hurricanes Milton, Helene, and Francine [ #link_1 ]
* Register for the November 14 Webinar for an Overview of Quality Payment Program Policies included in the CY 2025 Medicare Physician Fee Schedule (PFS) Final Rule [ #link_2 ]

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Merit-based Incentive Payment System (MIPS) Automatic Extreme and Uncontrollable Circumstances (EUC) Policy Applied to MIPS Eligible Clinicians Following Hurricanes Milton, Helene, and Francine


In response to Hurricane Milton, as identified by both the Health and Human Services (HHS) Public Health Emergency (PHE) declaration (Florida [ https://aspr.hhs.gov/legal/PHE/Pages/FL-Hurricane-Milton-Oct2024.aspx ]) and Federal Emergency Management Agency (FEMA) disaster declaration (DR-4834-FL [ https://www.fema.gov/disaster/4834 ]), the Centers for Medicare & Medicaid Services (CMS) has determined that the MIPS automatic EUC policy will apply to MIPS eligible clinicians in designated affected counties of Florida. 

In addition, CMS has applied this policy to clinicians in additional designated area(s) that are now listed on the FEMA website under PA-A and PA-B for Hurricanes Helene and Francine. This includes additional affected counties in Florida, Georgia, North Carolina, South Carolina, Tennessee, and Louisiana: 


* Health and Human Services (HHS) Public Health Emergency (PHE) declaration
* Hurricane Helene: Florida [ https://aspr.hhs.gov/legal/PHE/Pages/Fl-Hurricane-Helene-Sept2024.aspx ], Georgia [ https://aspr.hhs.gov/legal/PHE/Pages/GA-Hurricane-Helene-Sept2024.aspx ], North Carolina [ https://aspr.hhs.gov/legal/PHE/Pages/NC-Hurricane-Helene-Sept2024-aspx.aspx ], South Carolina [ https://aspr.hhs.gov/legal/PHE/Pages/SC-TN-Hurricane-Helene-Sept2024.aspx ], and Tennessee [ https://aspr.hhs.gov/legal/PHE/Pages/SC-TN-Hurricane-Helene-Sept2024.aspx ]
* Hurricane Francine: Louisiana [ https://aspr.hhs.gov/legal/PHE/Pages/LA-Hurricane-Francine.aspx ] 


* Federal Emergency Management Agency (FEMA) disaster declaration
* Hurricane Helene: DR-4828-FL [ https://www.fema.gov/disaster/4828 ], DR-4830-GA [ https://www.fema.gov/disaster/4830 ], DR-4827-NC [ https://www.fema.gov/disaster/4827 ], DR-4829-SC [ https://www.fema.gov/disaster/4829 ], and DR-4832-TN [ https://www.fema.gov/disaster/4832 ]
* Hurricane Francine: FEMA-4817-DR [ https://www.fema.gov/disaster/4817/designated-areas ] 

MIPS eligible clinicians in these areas will be automatically identified and have all 4 performance categories reweighted to 0% during the data submission period for the 2024 performance period (January 2 to March 31, 2025). This will result in a score equal to the performance threshold, and they'll receive a neutral payment adjustment for the 2026 MIPS payment year.  

However, if MIPS eligible clinicians in these areas submit data on 2 or more performance categories, they’ll be scored on those performance categories and receive a 2026 MIPS payment adjustment based on their 2024 MIPS final score.  

*NOTE: *The MIPS automatic EUC policy doesn’t apply to MIPS eligible clinicians participating in MIPS as a group, subgroup, virtual group, or Alternative Payment Model (APM) Entity. However, groups, virtual groups, and APM Entities can request reweighting through the EUC Exception application. Subgroups will inherit any reweighting approved for their affiliated group; they can’t request reweighting independent of their affiliated group’s status.  

*For More Information  * 

Please reference the MIPS EUC Exception section on the Quality Payment Program Exception Applications webpage [ https://qpp.cms.gov/mips/exception-applications?py=2024 ] and 2024 MIPS Automatic EUC Policy Fact Sheet (PDF, 762KB [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/2840/2024-MIPS-Automatic-EUC-Policy.pdf ]). 

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Register for the November 14 Webinar for an Overview of Quality Payment Program Policies included in the CY 2025 Medicare Physician Fee Schedule (PFS) Final Rule

The Centers for Medicare & Medicaid Services (CMS) is hosting a webinar on *Thursday, November 14, 2024, at 1:00 p.m. ET *to provide an overview of the finalized policies [ https://www.federalregister.gov/public-inspection/2024-25382/medicare-and-medicaid-programs-calendar-year-2025-payment-policies-under-the-physician-fee-schedule ] for the 2025 performance year of the Quality Payment Program (QPP).   

During the webinar, CMS subject matter experts will cover the following:  


* Overview and future direction of QPP 

* 2025 policy changes [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/3057/2025-QPP-Policies-Final-Rule-Fact-Sheet.pdf ] for traditional MIPS, MIPS Value Pathways (MVPs), the Medicare Shared Savings Program, and Advanced Alternative Payment Models (APMs) 

* Key differences between 2024 and 2025 performance year requirements 

Following the presentation, CMS will answer questions from attendees, as time permits.

*Webinar Details* 


* *Title: *Overview of the Quality Payment Program Policies in the CY 2025 Medicare Physician Fee Schedule (PFS) Final Rule 

* *Date:* Thursday November 14, 2024 

* *Time: *1:00 p.m. ET 

* *Registration Link: *https://us06web.zoom.us/webinar/register/WN_lYzMtRI8TUuGZJbSaN3TxA

*Please note*: Participants will have the option to listen to the webinar by dialing in on the phone or listening though their computer speakers. If you are having issues connecting to the webinar audio, please contact CMSQualityTeam@ketchum.com.

*For More Information* 

For more information about the finalized policies for QPP included in the 2025 Medicare PFS Final Rule [ https://www.federalregister.gov/public-inspection/2024-25382/medicare-and-medicaid-programs-calendar-year-2025-payment-policies-under-the-physician-fee-schedule ], review the 2024 QPP Policies Final Rule Fact Sheet (PDF, 2MB) [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/3057/2025-QPP-Policies-Final-Rule-Fact-Sheet.pdf ] on the QPP website [ https://qpp.cms.gov/ ]. 

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