Appendix K 2025 Partial QP Election Form (for submission in CY 2026

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

Appendix K 2025 Partial QP Election Form (for submission in CY 2026)

2027 Performance Period/2029 MIPS Payment Year

OMB: 0938-1314