Crosswalk: Appendix C1
Appendix C2 2023 Eligible Clinician Initiated Submission Form Crosswalk.docx
Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS) (CMS-10621)
Crosswalk: Appendix C1
OMB: 0938-1314
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1314 can be found here: