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Centers for Medicare & Medicaid Services Quality Payment Program
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* Reminder: 2024 MIPS Value Pathway (MVP) Registration Open [ #link_1 ]
* Submit Comments on CMS Proposed Policy Changes for Quality Payment Program [ #link_2 ]
* Reminder: 2024 QPP Exception Applications are Available [ #link_3 ]

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Reminder: 2024 MIPS Value Pathway (MVP) Registration Open

The Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs) registration window is open for the 2024 performance year. Individuals, groups, subgroups, and Alternative Payment Model (APM) Entities [ https://qpp.cms.gov/apms/mips-apms?py=2024 ] that wish to report an MVP can register *until December 2, 2024, at 8 p.m. ET.*

*NEW FOR 2024: *To register, you’ll sign in to the QPP website [ https://qpp.cms.gov/ ] with your HCQIS Access and Roles Profile (HARP) account. This is different from the 2023 process of completing an Excel form and emailing the QPP Service Center.

You must have a HARP account and QPP Security Official role to complete the MVP Registration.


* For more information on HARP accounts, please refer to the Register for a HARP Account document in the QPP Access User Guide (ZIP, 4MB) [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/2955/QPP-Access-User-Guide.zip ]
* For more information on obtaining the QPP Security Official role, review the Connect to an Organization document in the QPP Access User Guide (ZIP, 4MB) [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/2955/QPP-Access-User-Guide.zip ]

*Prepare for MVP Registration*

Before you register, you’ll need to have the following items identified:


* The MVP you plan to report
* Whether you plan to administer the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey, if it’s a quality measure option in your selected MVP
* Whether you want to be evaluated on an outcomes-based administrative claims quality measure, if it’s a quality measure option in your selected MVP
* The population health measure you would like to be evaluated on:
* 2024 Hospital-Wide All-Cause Unplanned Readmission Measure or
* 2024 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions

* The participation option you plan to use: individual, group, subgroup, or APM Entity

*How to Register*

Individuals, groups, subgroups and APM Entities will register on the Quality Payment Program (QPP) website. You'll need to have the Security Official role in order to register your organization. Please refer to the QPP Access User Guide (ZIP, 4MB) [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/2955/QPP-Access-User-Guide.zip ] for information about obtaining a Security Official role for your organization. To register:


* Sign in to QPP
* Click Register or edit an MVP registration from the landing page
* Click your MVP reporting option

*Note: If the CAHPS for MIPS Survey is an available measure in your selected MVP and you wish to administer it as 1 of your 4 required measures, you should have completed a separate CAHPS for MIPS Survey registration by July 1, 2024. Visit the QPP website to learn more about CAHPS for MIPS Survey registration [ https://qpp.cms.gov/mips/how-to-register-for-CAHPS?py=2024 ].

*Additional Resources*


* 2024 MVPs Implementation Guide (PDF, 1MB) [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/2778/2024-MVPs-Implementation-Guide.pdf ]
* 2024 MVPs Registration Guide (PDF, 1MB) [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/2750/2024MVPRegistrationGuide.pdf ]
* 2024 Explore MVPs [ https://qpp.cms.gov/mips/explore-mips-value-pathways?py=2024 ]

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Submit Comments on CMS Proposed Policy Changes for Quality Payment Program

*"Provide Feedback on Proposed Changes to the Quality Payment Program by September 9"*

The Centers for Medicare & Medicaid Services (CMS) recently issued its Calendar Year (CY) 2025 Medicare Physician Fee Schedule (PFS) Proposed Rule [ https://www.federalregister.gov/documents/2024/07/31/2024-14828/medicare-and-medicaid-programs-cy-2025-payment-policies-under-the-physician-fee-schedule-and-other ], which includes proposed policies for the Quality Payment Program (QPP).

The Notice of Proposed Rulemaking (NPRM) includes proposals for the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs), as well as several Requests for Information (RFIs).

Specifically, we’re proposing policies that:


* Continue the development and maintenance of MVPs
* Establish the APM Performance Pathway (APP) Plus quality measure set
* Update the MIPS measure/activity inventories and scoring methodologies

Finally, we’re proposing a small number of policies intended to maintain stability within the MIPS program through the established performance threshold and data completeness criteria.

*2025 Policy Highlights*

Key QPP policies that we are proposing in the 2025 PFS Proposed Rule include:


* Introducing 6 new MVPs for the 2025 performance period that are related to ophthalmology, dermatology, gastroenterology, pulmonology, urology, and surgical care
* Creating APP Plus, an additional quality measure set under the APP, which would include the 6 measures currently in the APP quality measure set and incrementally incorporate the remaining 5 Adult Universal Foundation quality measures for a total of 11 measures by the 2028 performance period/2030 payment year
* Maintaining the current performance threshold policies, leaving the performance threshold set at 75 points for the 2025 performance period
* Keeping the 75% data completeness criteria through the 2028 performance period

*Submit a Formal Comment by September 9*

You must officially submit your comments in one of the following ways [ https://www.federalregister.gov/documents/2024/07/31/2024-14828/medicare-and-medicaid-programs-cy-2025-payment-policies-under-the-physician-fee-schedule-and-other#open-comment ]:


* Electronically, through Regulations.gov [ https://www.regulations.gov/commenton/CMS-2024-0256-0045 ]
* Regular mail
* Express or overnight mail

Comments are due no later than* 5:00 p.m. ET on September 9, 2024.*

*For More Information*

Learn more about the QPP proposals by reviewing the following 2025 QPP Proposed Rule Resources:


* 2025 Quality Payment Program Proposed Rule Fact Sheet and Policy Comparison Table (PDF, 596KB) [ https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMDMsInVyaSI6ImJwMjpjbGljayIsInVybCI6Imh0dHBzOi8vcXBwLWNtLXByb2QtY29udGVudC5zMy5hbWF6b25hd3MuY29tL3VwbG9hZHMvMjg3Ni8yMDI1LVFQUC1Qcm9wb3NlZC1SdWxlLUZhY3QtU2hlZXQtYW5kLVBvbGljeS1Db21wYXJpc29uLVRhYmxlLnBkZiIsImJ1bGxldGluX2lkIjoiMjAyNDA4MDIuOTg1MTExMzEifQ.PIVVPRkSRHEhnvISwtjhxAGNF2DuFDx19Ys7CzhBLAs/s/657114878/br/246842660299-l ]
* 2025 Proposed and Modified MVPs Guide (PDF, 948KB) [ https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMDQsInVyaSI6ImJwMjpjbGljayIsInVybCI6Imh0dHBzOi8vcXBwLWNtLXByb2QtY29udGVudC5zMy5hbWF6b25hd3MuY29tL3VwbG9hZHMvMjg3Ny8yMDI1LVByb3Bvc2VkLWFuZC1Nb2RpZmllZC1NVlBzLUd1aWRlLnBkZiIsImJ1bGxldGluX2lkIjoiMjAyNDA4MDIuOTg1MTExMzEifQ.lWzaXWGOgAHw5VU2oX6DYVWsGs64dC3Zy6zrhO_VBGo/s/657114878/br/246842660299-l ]

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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://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMDIsInVyaSI6ImJwMjpjbGljayIsInVybCI6Imh0dHBzOi8vcXBwLmNtcy5nb3YvbWlwcy9leGNlcHRpb24tYXBwbGljYXRpb25zP3B5PTIwMjQiLCJidWxsZXRpbl9pZCI6IjIwMjQwNjI1Ljk2NzQ0MTExIn0.47UetXBhlwSE7cGU8eA5aVX2_S38UG9zVxim8jyIakI/s/657114878/br/244722225479-l ]__
* 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 ]
QPP Footer 2023 [ https://qpp.cms.gov/resources/help-and-support ]


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