CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary

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

OMB: 0938-1314

IC ID: 250664

Documents and Forms

Document Name Document Type
Form Appendix A1 CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary Form and Instruction
Appendix A1 2024 MIPS QCDR and Registry Self-nomination User Guide Appendix A1 2024 MIPS QCDR Registry Self-Nomination User Guide.pdf Form and Instruction
Appendix A1 2024 MIPS QCDR and Registry Self-nomination User Guide Appendix A1 2024 MIPS QCDR Registry Self-Nomination User Guide.pdf Form and Instruction
Appendix B1 2024 Submission Form for Other Payer Requests for Other Appendix B1 2024 Payer Initiated Submission Form.pdf Form
Appendix B1 2024 Submission Form for Other Payer Requests for Other Appendix B1 2024 Payer Initiated Submission Form.pdf Form
Appendix C1 2024 Submission Form for Eligible Clinician and APM Enti Appendix C1 2024 Eligible Clinician Initiated Submission Form.pdf Form and Instruction
Appendix C1 2024 Submission Form for Eligible Clinician and APM Enti Appendix C1 2024 Eligible Clinician Initiated Submission Form.pdf Form and Instruction
Appendix D1 2024 Submission Form for Requests for Qualifying Alterna Appendix D1 2024 All-Payer QP Data Submission Form.pdf Form and Instruction
Appendix D1 2024 Submission Form for Requests for Qualifying Alterna Appendix D1 2024 All-Payer QP Data Submission Form.pdf Form and Instruction
Appendix E Measures under Consideration 2023 Data Template for Cand Appendix E 2023 MUC Data Template.pdf Form and Instruction
Appendix E Measures under Consideration 2023 Data Template for Cand Appendix E 2023 MUC Data Template.pdf Form and Instruction
Appendix F 2023 Peer Reviewed Journal Article Requirement Template Appendix F 2023 MIPS Peer-Reviewed Journal Article Requirement Template.pdf Form and Instruction
Appendix F 2023 Peer Reviewed Journal Article Requirement Template Appendix F 2023 MIPS Peer-Reviewed Journal Article Requirement Template.pdf Form and Instruction
Appendix G1 Improvement Activities Performance Category, 2024 Call f Appendix G1 2024 IA Call for Activities Submission Form.pdf Form and Instruction
Appendix G1 Improvement Activities Performance Category, 2024 Call f Appendix G1 2024 IA Call for Activities Submission Form.pdf Form and Instruction
Appendix H1 2023 MIPS Promoting Interoperability Hardship Exception Appendix H1 2023 MIPS Promoting Interoperability Hardship Exception Application Guide.pptx Form and Instruction
Appendix H1 2023 MIPS Promoting Interoperability Hardship Exception Appendix H1 2023 MIPS Promoting Interoperability Hardship Exception Application Guide.pptx Form and Instruction
Appendix I1 2023 MIPS Extreme and Uncontrollable Circumstances Excep Appendix I1 2023 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide .pdf Form and Instruction
Appendix I1 2023 MIPS Extreme and Uncontrollable Circumstances Excep Appendix I1 2023 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide .pdf Form and Instruction
Appendix J1 2024 MVP Candidates: Instructions and Template Appendix J1 2024 MVP Development Standardized Template.pdf Form and Instruction
Appendix J1 2024 MVP Candidates: Instructions and Template Appendix J1 2024 MVP Development Standardized Template.pdf Form and Instruction
Appendix K1 2023 Partial QP Election Form Appendix K1 Partial QP Submission Form.pdf Form and Instruction
Appendix K1 2023 Partial QP Election Form Appendix K1 Partial QP Submission Form.pdf Form and Instruction
Appendix L 2023 MVP Registration Form Appendix L MVP Registration Form.xlsx Form and Instruction
Appendix L 2023 MVP Registration Form Appendix L MVP Registration Form.xlsx Form and Instruction
Appendix A2 2024 MIPS QCDR and Registry Self-Nomination User Guide Crosswalk.pdf Crosswalk: Appendix A1 IC Document
Appendix A2 2024 MIPS QCDR and Registry Self-Nomination User Guide Crosswalk.pdf Crosswalk: Appendix A1 IC Document
Appendix B2 2024 Payer Initiated Submission Form Crosswalk.pdf Crosswalk: Appendix B1 IC Document
Appendix B2 2024 Payer Initiated Submission Form Crosswalk.pdf Crosswalk: Appendix B1 IC Document
Appendix C2 2024 Eligible Clinician Initiated Submission Form Crosswalk.pdf Crosswalk: Appendix C1 IC Document
Appendix C2 2024 Eligible Clinician Initiated Submission Form Crosswalk.pdf Crosswalk: Appendix C1 IC Document
Appendix D2 2024 All-Payer QP Data Submission Form Crosswalk.pdf Crosswalk: Appendix D1 IC Document
Appendix D2 2024 All-Payer QP Data Submission Form Crosswalk.pdf Crosswalk: Appendix D1 IC Document
Appendix G2 2024 IA Call for Activities Crosswalk.pdf Crosswalk: Appendix G1 IC Document
Appendix G2 2024 IA Call for Activities Crosswalk.pdf Crosswalk: Appendix G1 IC Document
Appendix H2 2023 MIPS Promoting Interoperability Hardship Exception Application Guide Crosswalk.pdf Crosswalk: Appendix H1 IC Document
Appendix H2 2023 MIPS Promoting Interoperability Hardship Exception Application Guide Crosswalk.pdf Crosswalk: Appendix H1 IC Document
Appendix I2 2023 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide Crosswalk .pdf Crosswalk: Appendix I1 IC Document
Appendix I2 2023 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide Crosswalk .pdf Crosswalk: Appendix I1 IC Document
Appendix J2 2024 MVP Submission Template Crosswalk.pdf Crosswalk: Appendix J1 IC Document
Appendix J2 2024 MVP Submission Template Crosswalk.pdf Crosswalk: Appendix J1 IC Document
Appendix K2 Partial QP Submission Form Crosswalk.pdf Crosswalk: Appendix K1 IC Document
Appendix K2 Partial QP Submission Form Crosswalk.pdf Crosswalk: Appendix K1 IC Document