Appendix L1 2022 Partial QP Election Form (for submission in CY 2023

Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS) (CMS-10621)

Appendix L1 Partial QP Submission Form

CY 2023 Performance Period/2025 MIPS Payment Year Burden Summary

OMB: 0938-1314

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