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Merit-based Incentive
Payment System (MIPS)
2022 MIPS Promoting
Interoperability Performance
Category Hardship Exception
Application Guide

1

Contents
How to Use This Guide

Already know what MIPS is?
Skip ahead by clicking the links in the Table of
Contents.

3

MIPS Promoting Interoperability Performance Category Hardship Exception App
lication Overview
5
MIPS Promoting Interoperability Performance Category Hardship Exception Info
rmation for Individuals, Groups, and Virtual Groups
7
MIPS Promoting Interoperability Performance Category Hardship Exception: Fre
quently Asked Questions
12
MIPS Promoting Interoperability Performance Category Hardship Exception: Ap
plication Steps
14
Help, Resources, Glossary, and Version History

30

Appendix

34

2

How to Use This Guide

3

How to Use This Guide

Table of Contents
The table of contents is interactive. Click on a
chapter in the table of contents to read that
section.
You can also click on the icon on the
bottom left to go back to the table
of contents.

Please note: This guide was prepared for
informational purposes only and isn’t intended to
grant rights or impose obligations. The information
provided is only intended to be a general summary. It
isn’t intended to take the place of the written law,
including the regulations. We encourage readers to
review the specific statutes, regulations, and other
interpretive materials for a full and accurate statement
of their contents.

Hyperlinks
Hyperlinks to the
Quality Payment Program website are included
throughout the guide to direct the reader to
more information and resources.

Purpose: This guide will provide general information about the MIPS Promoting Interoperability Performance
Category Hardship Exception application and provide step-by-step instructions on how to complete the application.

4

MIPS Promoting Interoperability
Performance Category Hardship
Exception Application Overview

5

MIPS Promoting Interoperability Performance Category
Hardship Exception Application Overview
Overview
What

Who

Why

When
Where

How

MIPS Promoting Interoperability Hardship Exception applications allow you to request that your MIPS Promoting
Interoperability performance category be reweighted to 0%.
Individual clinicians, groups, and virtual groups reporting via traditional MIPS or the APM Performance Pathway (APP)
• Third Party Intermediaries can submit an application with permission from the clinician or practice.
Some clinicians, groups and virtual groups automatically qualify for reweighting of the Promoting Interoperability
performance category. If you qualify for automatic reweighting, you don’t need to apply for a MIPS Promoting
Interoperability Hardship Exception.
• See Appendix A for information about the clinicians, groups and virtual groups that automatically qualify for
reweighting of this performance category.
You can submit an application to have your MIPS Promoting Interoperability performance category reweighted to 0%
Note: We automatically reweigh Promoting
if:
Interoperability for small practices. See

page 8 for more information.
• You have insufficient Internet connectivity
• You have decertified EHR technology
• You lack control over the availability of CEHRT
o Lacking 2015 Edition CEHRT doesn’t qualify as a reason to submit an exception application
• You face extreme and uncontrollable circumstances such as a disaster, practice closure, severe financial distress
or vendor issues
o If you experience an extreme and uncontrollable circumstance that impacts multiple performance
categories, the Extreme and Uncontrollable Circumstances exception application may be more suitable
for your given circumstance.
Now through January 3, 2023, at 8 p.m. ET.
Sign in to qpp.cms.gov with your HCQIS Access and Roles Profile (HARP) account.
• For more information on HARP accounts, please refer to the Register for a HARP Account document in the
QPP Access User Guide (ZIP).
1. Register for a HARP account
2. Sign in to qpp.cms.gov
3. Select ‘Exceptions Application’ on the left-hand navigation
SeeSelect
Appendix
(traditional
MIPS) and Appendix C (APP) for more information on performance category
4.
‘Add B
New
Exception’
6
5. Select ‘Promoting Interoperability Hardshipreweighting.
Exception’

MIPS Promoting Interoperability
Performance Category Hardship Exception
Information for Individuals, Groups, and
Virtual Groups

7

MIPS Promoting Interoperability Performance Category
Hardship Exception Information for Individuals, Groups, and
Virtual Groups
Overview
You may automatically qualify for reweighting in this performance category.

New: Small practices
now qualify for
automatic reweighting.

• See Appendix A.
• If you automatically quality for reweighting, you don’t need to submit an exception application.
You will complete the hardship exception application at the level for which you will report data to MIPS.

• If you are reporting data at the individual level, complete the hardship exception application at the individual level.
• If you are reporting data at the group level, complete the hardship exception application at the group level.
• Note, a group hardship exception application will only apply at the group level.
• If your practice is participating in MIPS at the individual level, don’t complete the hardship exception application at the group
level. You will complete the hardship exception application at the individual level for each clinician (who doesn’t automatically
qualify for reweighting) to be considered for reweighting.
You can still submit data for the MIPS Promoting Interoperability performance category.

• If your circumstances change and you’re able to collect and submit your Promoting Interoperability data, we will disregard your
hardship exception application and you will be scored in this performance category.

• You will also be scored in this performance category if you attest to any data, such as selecting performance period dates or
responding to attestation statements, during the submission period.

• Starting with performance year 2022, small practices qualify for automatic reweighting of the Promoting Interoperability
performance category.
You aren’t required to submit documentation with your application.

•

However, clinicians, groups and virtual groups should retain documentation of their circumstances supporting their application
for their own records in the event they are selected by CMS for data validation or audit. See our
2022 MIPS Data Validation Criteria Guide (ZIP) for details on the data validation process.
8

MIPS Promoting Interoperability Performance Category
Hardship Exception Information for Individuals, Groups,
and Virtual Groups
Overview (continued)
You can apply for a MIPS Promoting Interoperability performance category hardship exception if you switch CEHRT
vendors during the performance period.
• You would indicate an extreme and uncontrollable circumstances hardship exception and select vendor issues within the
application.
The following circumstances qualify as extreme and uncontrollable circumstances for a MIPS Promoting
Interoperability performance category hardship exception:
• A natural disaster resulting in damage to or destruction of your CEHRT
• Practice closure
• Severe financial distress resulting in bankruptcy or debt restructuring
• Vendor issues (such as a change in vendors during the performance period or errors with your CEHRT that your vendor
is unable to address)
You may still be able to report if your electronic health record (EHR) product is decertified during the 2022
performance year.
•

You can still submit your Promoting Interoperability performance category measures collected in your now-decertified
EHR product if your performance period ended before the decertification occurred.

•

If your performance period ended after the EHR decertification occurred, you can apply for a MIPS Promoting
Interoperability performance category hardship exception and select decertified EHR technology.

9

MIPS Promoting Interoperability Performance Category
Hardship Exception Information for Individuals, Groups,
and Virtual Groups
Groups and Virtual Groups
To submit an application on behalf of a group, every office location/practice site within the Taxpayer Identification
Number (TIN) must experience the hardship for the group to qualify for the Promoting Interoperability performance
category hardship exception.
•

For example, if one office location is within a broadband availability area but the other office(s) for the practice is not,
the office with broadband availability would not qualify for the MIPS Promoting Interoperability performance category
hardship and must report for those clinicians for whom they have data.

To submit an application on behalf of a virtual group, every office location/practice site for each TIN within the virtual
group must experience the hardship for the virtual group to qualify for the Promoting Interoperability performance
category hardship exception.
•

For example, if one TIN is within a broadband availability area but the other TIN(s) in the virtual group is not, the TIN
with broadband availability would not qualify for the MIPS Promoting Interoperability performance category hardship
and must report for those clinicians for whom they have data.

10

MIPS Promoting Interoperability Performance Category
Hardship Exception Information for Individuals, Groups, and
Virtual Groups
MIPS APM Participants
MIPS eligible clinicians and groups with MIPS eligible clinicians participating in a MIPS APM can apply for hardship
exceptions and qualify for automatic reweighting just like other MIPS eligible clinicians.
If you’re participating in MIPS at the APM Entity level (either reporting traditional MIPS or the APP), you would
complete the application as an individual or group.
• If approved, the clinician will receive the APM Entity’s score, but will be excluded from the calculation when we create an
average Promoting Interoperability score for the APM Entity.
APM Entities reporting the APP or traditional MIPS can’t submit a Promoting Interoperability hardship exception
application on behalf of the entire Entity.
•

When participating in MIPS as an APM Entity, the Promoting Interoperability performance category is still reported at
the individual or group level.

A MIPS Promoting Interoperability performance category hardship exception doesn’t exempt you from reporting on
any certified EHR technology (CEHRT) activities required for participation in your APM.

11

MIPS Promoting Interoperability
Performance Category Hardship
Exception: Frequently Asked
Questions

12

MIPS Promoting Interoperability Performance Category
Hardship Exception: Frequently Asked Questions

Question
Where Can I Look for a Status Update
on Our MIPS Promoting
Interoperability Performance
Category Hardship Exception
Application?

Answer
You can monitor your application status in your QPP Account on
qpp.cms.gov.
Yes, you can add additional staff or representatives who should receive
notifications about the status of the application.

Can Additional Staff Members
Access/Receive Notifications About
the Status of the MIPS Promoting
Interoperability Performance
Category Hardship Exception
Application?

How Can I Correct a Mistake Made on
Our MIPS Promoting Interoperability
Performance Category Hardship
Exception Application?

In the Additional Access section of the application, provide the email
address(es) of additional staff or representatives who would like to
receive email notifications.
Please note: the additional staff or representatives must have HARP
credentials in order to see the application on qpp.cms.gov.
If you identified an error with your exception application, please contact
the Quality Payment Program at 1-866-288-8292, Monday through
Friday, 8 a.m.-8 p.m. ET or by e-mail at: [email protected].

13

MIPS Promoting Interoperability
Performance Category Hardship
Exception: Application Steps

14

MIPS Promoting Interoperability Performance Category
Hardship Exception: Application Steps
Step 1: Sign in to Your QPP Account
Sign in to your QPP Account at qpp.cms.gov with your HARP credentials.

Note: If you haven’t signed into qpp.cms.gov
before, you must register for an account to obtain
your HARP credentials. See our
QPP Account Access Guide (ZIP) for information on
creating an account.

*The screenshots included in this user guide were based on the QPP test environment. Because we are always working to
incorporate feedback and improve experience, there may be differences between these screenshots and what you see on
qpp.cms.gov.
15

MIPS Promoting Interoperability Performance Category Hardship
Exception: Application Steps
Step 2: Navigate to Your Exception Applications
Once you are signed into your account select:
• The Exception Application tab in the left-hand navigation menu, then click + Add New QPP Exception
OR
• The Start an Application quick link on the home page.

You can create and submit a
new exception request until 8
p.m. ET on January 3, 2023.

*The screenshots included in this user
guide were based on the QPP test
environment. Because we are always
working to incorporate feedback and
improve experience, there may be
differences between these screenshots
and what you see on qpp.cms.gov.
16

MIPS Promoting Interoperability Performance Category Hardship
Exception: Application Steps
Step 3: Select the Exception Application
Select the MIPS Promoting Interoperability Performance
Category Hardship Exception, then Continue.

*The screenshots included in this user guide were based on the QPP test environment. Because we are always working to
incorporate feedback and improve experience, there may be differences between these screenshots and what you see on
qpp.cms.gov.
17

MIPS Promoting Interoperability Performance Category Hardship
Exception: Application Steps
Step 4: Select Application Type
Select the participation level at which you intend to participate in MIPS, then select Save & Continue.

(Image features application at the individual level)

*The screenshots included in this user guide were based on the QPP test environment. Because we are always working to
incorporate feedback and improve experience, there may be differences between these screenshots and what you see on
qpp.cms.gov.
18

MIPS Promoting Interoperability Performance Category Hardship
Exception: Application Steps
Step 5: Enter Participation Level Information
Enter the required participation level information.
The required information for each participation level is as follows:

Participation
Required Information
Level
• National Provider Identifier
Individual
Clinician
(NPI)
• Practice Affiliation
• Taxpayer Identification
Group
Number (TIN)
Virtual Group • Virtual Group Identifier

(Image features application at the individual level)

*The screenshots included in this user guide were based on the QPP test environment. Because we are always working to
incorporate feedback and improve experience, there may be differences between these screenshots and what you see on
qpp.cms.gov.
19

MIPS Promoting Interoperability Performance Category Hardship Exception:
Application Steps

Step 6: Enter Submitter Details
Enter your contact information (as the submitter) and identify your relationship to the party identified in the application.

*The screenshots included in this user guide were based on the QPP test environment. Because we are always working to
incorporate feedback and improve experience, there may be differences between these screenshots and what you see on
qpp.cms.gov.
20

MIPS Promoting Interoperability Performance Category Hardship
Exception: Application Steps
Step 7: Enter Additional Staff in Additional Access Section
You can identify additional users to receive notifications about the application in the Additional Access section.
If there’s a HARP account associated with the email address(es) you provide, the person will be able to sign in to their own account
on qpp.cms.gov and access the application.

*The screenshots included in this user guide were based on the QPP test environment. Because we are always working to
incorporate feedback and improve experience, there may be differences between these screenshots and what you see on
qpp.cms.gov.
21

MIPS Promoting Interoperability Performance Category Hardship
Exception: Application Steps
Step 8: Select the Reason for MIPS Promoting Interoperability Hardship
Select the option that aligns with your reason for submitting an MIPS Promoting Interoperability Hardship exception application.

Note: You don’t need to submit
supporting documentation with
your application. However, you
should retain documentation of
the circumstances supporting
your application for your own
records in case you are selected
by CMS for data validation or an
audit. See our
2022 MIPS Data Validation Criteri
a Guide (ZIP)
for details on the data validation
process,

*The screenshots included in this
user guide were based on the QPP
test environment. Because we are
always working to incorporate
feedback and improve experience,
there may be differences between
these screenshots and what you see
on qpp.cms.gov.
22

MIPS Promoting Interoperability Performance Category Hardship
Exception: Application Steps
Step 9: Complete Attestation and Provide Event Description
Before submitting your application, you must complete the attestation (differs for each reason option).
•

Insufficient Internet Connectivity

•

Extreme and Uncontrollable Circumstances

•

Lack of Control Over the Availability of CEHRT

•

EHR Decertification

You also can provide an optional brief description on the hardship you experienced and how performance data is impacted.

23

MIPS Promoting Interoperability Performance Category Hardship
Exception: Application Steps
Step 9: Complete Attestation and Provide Event Description (continued)
Reason Option 1: Insufficient Internet Connectivity
Review the attestation statement and select “I attest.” You can provide an optional description of the hardship event.

*The screenshots included in this user
guide were based on the QPP test
environment. Because we are always
working to incorporate feedback and
improve experience, there may be
differences between these screenshots
and what you see on qpp.cms.gov.
24

MIPS Promoting Interoperability Performance Category Hardship
Exception: Application Steps
Step 9: Complete Attestation and Provide Event Description (continued)

Reason Option 2: Extreme and Uncontrollable Circumstances
Select the extreme and uncontrollable event type that applies to you,
enter event dates, then review the attestation statement and select “I
attest.”
You can provide an optional description of the hardship event.

*The screenshots included in this user
guide were based on the QPP test
environment. Because we are always
working to incorporate feedback and
improve experience, there may be
differences between these screenshots
and what you see on qpp.cms.gov.

25

MIPS Promoting Interoperability Performance Category Hardship
Exception: Application Steps
Step 9: Complete Attestation and Provide Event Description (continued)
Reason Option 3: Lack of Control Over the Availability of CEHRT
Review the attestation statement and select “I attest.” You can provide an optional description of the hardship event.

*The screenshots included in this user
guide were based on the QPP test
environment. Because we are always
working to incorporate feedback and
improve experience, there may be
differences between these screenshots
and what you see on qpp.cms.gov.
26

MIPS Promoting Interoperability Performance Category Hardship
Exception: Application Steps
Step 9: Complete Attestation and Provide Event Description
(continued)
Reason Option 4: EHR Decertification
Enter the date that your EHR was decertified and your ONC-ACB
Certification ID. Then, review the attestation statement and select “I
attest.”
You can provide an optional description of the hardship event.

*The screenshots included in this user
guide were based on the QPP test
environment. Because we are always
working to incorporate feedback and
improve experience, there may be
differences between these screenshots
and what you see on qpp.cms.gov.

27

MIPS Promoting Interoperability Performance Category Hardship
Exception: Application Steps
Step 10: Submit MIPS Promoting Interoperability Hardship Application
Once you are done with your application, review the disclosures, then select Certify & Submit.

*The screenshots included in this user
guide were based on the QPP test
environment. Because we are always
working to incorporate feedback and
improve experience, there may be
differences between these screenshots
and what you see on qpp.cms.gov.
28

MIPS Promoting Interoperability Performance Category Hardship
Exception: Application Steps
MIPS Promoting Interoperability Hardship Application Submission Confirmation
After you submit your MIPS Promoting Interoperability Hardship application, you will receive a message stating that your
hardship application has been successfully submitted and is pending review.
You will also receive an email notification.

See Appendix D for information
on the various application
statuses.

*The screenshots included in this user
guide were based on the QPP test
environment. Because we are always
working to incorporate feedback and
improve experience, there may be
differences between these screenshots
and what you see on qpp.cms.gov.

29

Help, Resources, Glossary,
and Version History

30

Help, Resources, and Version History
Where Can You Go for Help?

Contact the Quality Payment
Program at 1-866-288-8292,
Monday through Friday, 8 a.m.8 p.m. ET or by e-mail at:
[email protected].
• Customers who are hearing
impaired can dial 711 to be
connected to a TRS
Communications Assistant.

Visit the Quality Payment
Program website for other
help and support information,
to learn more about MIPS, and
to check out the resources
available in the
Quality Payment Program Reso
urce Library
.

31

Help, Resources, Glossary, and Version History
Additional Resources
The QPP Resource Library houses fact sheets, measure specifications, specialty guides, technical guides, user guides, helpful
videos, and more. We will update this table as more resources become available.
•

2022 MIPS Promoting Interoperability Quick Start Guide (PDF)

•

2022 MIPS Promoting Interoperability User Guide (PDF)

•

2022 Extreme and Uncontrollable Circumstances Exception Application Guide (PDF)

32

Help, Resources, and Version History
Version History
If we need to update this document, changes will be identified here.

Date

Description

10/06/2022

Updated deadline to request an exception to January 3,
2023, at 8 p.m. ET (slides 6 and 16)

05/02/2022

Original Posting.

33

Appendix

34

Appendix
Appendix A. Automatic Reweighting in the MIPS Promoting Interoperability
Performance Category
Reason for Reweighting (Individual Clinicians)
You have one of these Special Statuses:
• (New) Small Practice;
• Ambulatory Surgical Center (ASC)-based;
• Hospital-based; or
• Non-patient facing
• (New) Clinical social
• Physical therapist
worker
Occupational
You are
one of these clinician•types:
• Physician assistant
therapist
• Nurse practitioner
• Qualified speech• Clinical nurse
language pathologist
•
specialist
Qualified audiologist
• Certified registered
• Clinical psychologist
• Registered dietitian or
nurse anesthetist
nutrition professional

Action Needed by the Individual
None – You are automatically excepted from having to submit data for
this performance category as an individual, though you may still choose
to do so.
You will be scored in this performance category if your practice is
participating as a group or virtual group and doesn’t qualify for
reweighting.
None – You are automatically excepted from having to submit data for
this performance category as an individual, though you may still choose
to do so.
You will be scored in this performance category if your practice is
participating as a group or virtual group and doesn’t qualify for
reweighting.

Reason for Reweighting (Groups and Virtual Groups)

Action Needed by the Group or Virtual Group

You have one of these Special Statuses:
• Ambulatory Surgical Center (ASC)-based.
• Hospital-based:
o Group or virtual group must have more than 75%

You will be scored in this performance category if your practice is
participating as a group or virtual group and doesn’t qualify for
reweighting.

of clinicians designated as hospital-based.
• Non-patient facing:
o Group or virtual group must have more than 75%
of clinicians designated as non-patient facing.
All of the MIPS eligible clinicians in your group or virtual
group qualify for reweighting as individuals (through any
combination of special statuses, clinician type, and

You will be scored in this performance category if your practice is
participating as a group or virtual group and doesn’t qualify for
reweighting.

35

Appendix
Appendix B. MIPS Performance Category Weight Redistribution Policies Under
Traditional MIPS Finalized for the 2022 Performance Year: Individual Clinicians, Groups
and Virtual Groups
Refer to Appendix C for
reweighting policies that
apply to APM Entities.

The table below illustrates the 2022 performance category weights and reweighting
policies that CMS will apply to clinicians, groups, and virtual groups reporting via
traditional MIPS.
Important Reminders:

• Individual Clinicians, Groups, Virtual Groups: If fewer than 2 performance categories can be scored (meaning 1
performance category is weighted at 100%, or all performance categories are weighted at 0%), the clinician, group, or
virtual group will receive a final score equal to the performance threshold and the MIPS eligible clinicians will receive a
neutral payment adjustment in the 2024 payment year.

MIPS Performance Category
Reweighting Scenario
No Reweighting
Standard Weighting under traditional
MIPS
Reweight 1 Performance Category
No Cost
(Cost  Quality and Promoting
Interoperability)

Quality
Category Weight

Cost Category
Weight

Improvement
Activities
Category
Weight

Promoting
Interoperability
Category Weight

30%

30%

15%

25%

55%

0%

15%

30%

No Improvement Activities
(Improvement Activities  Quality)

45%

30%

0%

25%

No Promoting Interoperability
(Promoting Interoperability  Quality)

55%

30%

15%

0%

No Quality
(Quality  Promoting Interoperability)

0%

30%

15%

55%

*Table continues on next
slide.

Note:
Small
practices
have a
different
distributio
n policy
than
individual
clinicians,
larger
groups,
and virtual
groups.

36

Appendix
Appendix B. MIPS Performance Category Weight Redistribution Policies Under
Traditional MIPS Finalized for the 2022 Performance Year: Individual Clinicians, Groups
and Virtual Groups (continued)
MIPS Performance Category
Reweighting Scenario
Reweight 2 Performance Categories
No Cost + No Promoting Interoperability
(Cost + Promoting Interoperability 
Quality)
No Cost + No Quality
(Cost + Quality  Promoting
Interoperability)
No Cost + No Improvement Activities
(Cost + Improvement Activities 
Promoting Interoperability + Quality)
No Promoting Interoperability + No
Quality
(Promoting Interoperability + Quality 
Cost + Improvement Activities)

Quality
Category Weight

Cost Category
Weight

Improvement
Activities
Category
Weight

85%

0%

15%

0%

0%

0%

15%

85%

70%

0%

0%

30%

0%

50%

50%

0%

Promoting
Interoperability
Category Weight

No Promoting Interoperability + No
Improvement Activities
70%reweighted to 30%
0% is
(Promoting
Interoperability
Note: If you
have multiple+ performance categories
0% so that a single0%
performance category
Improvement
Activities
 Quality)
weighted at 100%
of your
final score, you will receive a score equal to the performance threshold regardless of

any data submitted or not submitted. See next slide for additional information.

No Quality + No Improvement Activities
(Quality + Improvement Activities 
Promoting Interoperability)

0%

30%

*Table continues70%
on next
0%
slide.

37

Appendix
Appendix B. MIPS Performance Category Weight Redistribution Policies Under
Traditional MIPS Finalized for the 2022 Performance Year: Individual Clinicians, Groups
and Virtual Groups (continued)
MIPS Performance Category
Reweighting Scenario

Quality
Category Weight

Cost Category
Weight

Improvement
Activities
Category
Weight

Promoting
Interoperability
Category Weight

Reweight 3 Performance Categories
If you have multiple performance categories reweighted to 0% so that a single performance category is weighted at 100%
of your final score, you will receive a score equal to the performance threshold regardless of any data submitted or not and
receive a neutral payment adjustment.
Reweight 4 Performance Categories
If all performance categories are reweighted to 0%, you will receive a score equal to the performance threshold regardless
of any data submitted or not and receive a neutral payment adjustment.

38

Appendix
Appendix C. MIPS Performance Category Weight Redistribution Policies for APM Entities
and the APP Finalized for the 2022 Performance Year
The table below illustrates the 2022 performance category weights and reweighting policies that apply to APM Entities
reporting traditional MIPS, and to individual clinicians, groups and APM Entities reporting the APP.
Reminders:
•

Cost is not scored under the APP.

•

There are no reporting requirements for the improvement activities performance category under the APP for the 2022
performance year. Participants reporting via the APP will automatically receive full credit for the improvement activities
performance category for performance year 2022.

•

Participants reporting via the APP will follow the same reporting requirements as traditional MIPS for the Promoting
Interoperability performance category.
MIPS Performance Category
Reweighting Scenario under the APP
No Reweighting
Standard Weighting under the APP

Quality
Category Weight

Cost Category
Weight

Improvement
Activities
Category
Weight

50%

0%

20%

30%

75%

0%

25%

0%

0%

0%

25%

75%

Promoting
Interoperability
Category Weight

Reweight 1 Performance Category
No Promoting Interoperability
(Promoting Interoperability  Quality)
No Quality
(Quality  Promoting Interoperability)
Reweight 2 + Performance Categories

If you have multiple performance categories reweighted to 0% so that a single performance category is weighted at 100%
of your final score, you will receive a score equal to the performance threshold regardless of any data submitted or not and
receive a neutral payment adjustment.

39

Appendix
Appendix D. MIPS Promoting Interoperability Hardship Exception Application Status
Descriptions
The table below provides a description of each application status in the order of which they occur.

Draft in Progress

Submitted – Pending
Approval

Approved / Denied

Withdrawn

You are currently
working on your
application and haven’t
submitted it application
yet.

You have successfully
completed and
submitted your
application.

We completed our
review of your
application and
approved your request.

You have withdrawn
your application. You
can withdraw your
application at any point
in the process.

Select Manage to
continue working on
your application.

Applications are
reviewed in the order of
which they are received.

We completed our
review of your
application and denied
your request.

An application can’t be
re-opened after being
withdrawn. You’ll need
to complete a new
application.

40