2025 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form)
2024 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form)
Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS) (CMS-10621)
Revision of a currently approved collection
No
Regular
Approved without change
06/17/2025
01/24/2025
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
02/28/2027
36 Months From Approved
02/28/2027
135,984
0
191,225
649,371
0
728,142
0
0
0
Section 1848(q) of the Social Security Act, as amended by section 101 of the Medicare Access and CHIP Reauthorization Act of 2015, authorizes the establishment of a Merit-based Incentive Payment System (MIPS) for eligible clinicians. Beginning in CY 2017, eligible clinicians are required to collect and submit data on four performance categories to CMS (quality, cost, advancing care information and improvement activities). This program replaces and consolidates portions of the PQRS, Value-based Modifier, and the Medicare EHR Incentive Program. The Act also establishes a second track, Advanced Alternative Payment Models (APMs) for clinicians to participate in instead of MIPS.
US Code:
42 USC 1395w-4
Name of Law: Medicare Access and CHIP Reauthorization Act of 2014
US Code: 42 USC 1395w-4 Name of Law: Medicare Access and CHIP Reauthorization Act of 2014
Appendix G, Appendix K, Appendix E, Appendix A, Appendix B, Appendix C, Appendix D, Appendix F, Appendix H, Appendix I, Appendix J, Appendix L
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table that charts list of burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
135,984
191,225
2,506
0
-57,747
0
Annual Time Burden (Hours)
649,371
728,142
-7,570
0
-71,201
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
No
No
This iteration's changes are associated with our December 9, 2024 (89 FR 97710) CY 2025 PFS final rule (CMS-1807-F; RIN 0938-AV33) and adjustments to the currently approved burden as a result of updated data sources and assumptions.
Overall, this iteration proposes to decrease the current estimates by minus 55,241 responses (from 191,225 to 135,984 responses) and minus 78,771 hours (from 728,142 to 649,371 hr).
We have also revised Appendices A through K and replaced active Appendix L (2023 MVP Registration Form) with a new Appendix L entitled, â2024 MVP Registration Form.â The MVP registration collection changed from submitting an Excel file via email in 2023 to an online registration form for 2024.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
CY 2025 Performance Period/2027 MIPS Payment Year