Index

• Sections
  • MIPS Exception 2022
  • Can I Apply for an Extreme and Uncontrollable Circumstances Exception?
  • Is There an Instance When the Extreme and Uncontrollable Circumstances Exception is Automatically Applied?
  • How Do I Apply?

MIPS Exception 2022

How to check MIPs participation status:

Go to this website and enter your 10-digit National Provider Identifier (NPI) number to view your QPP participation status by performance year (PY). 

The website: https://qpp.cms.gov/participation-lookup 

Hardship Exceptions

Can I Apply for an Extreme and Uncontrollable Circumstances Exception?

Yes. The MIPS EUC Exception application period for PY 2022 is now available and applications can be submitted through 8 p.m. ET on December 31, 2022.  If you believe you have been affected by an extreme and uncontrollable circumstance (such as the PHE triggered by the COVID-19 pandemic), you can apply for this exception whether reporting traditional MIPS or the APM Performance Pathway (APP).

Extreme and uncontrollable circumstances are defined as rare events entirely outside of your control and the control of the facility in which you practice.

These circumstances would:

• Cause you to be unable to collect information necessary to submit for a MIPS performance category;
• Cause you to be unable to submit information that would be used to score a MIPS performance category for an extended period of time (for example, if you were unable to collect data for the quality performance category for 3 months), and/or;
• Impact your normal processes, affecting your performance on cost measures and other administrative claims measures.

Is There an Instance When the Extreme and Uncontrollable Circumstances Exception is Automatically Applied?

Yes. MIPS eligible clinicians who are located in a Centers for Medicare & Medicaid Services (CMS) designated region that has been affected by an extreme and uncontrollable event (such as FEMA-designated major disaster) during PY 2022 receive the automatic extreme and uncontrollable circumstances exception. We identify qualifying events through the QPP Listserv. Subscribe at the bottom of any page on the website.

The automatic extreme and uncontrollable circumstances policy does not apply to group or virtual group participation.

MIPS eligible clinicians identified as affected by the automatic extreme and uncontrollable event will have all 4 MIPS performance categories reweighted to 0% of their final score, unless they submit data for 2 or more performance categories. These clinicians are automatically identified and don’t need to submit an exception application.

If you qualify for the automatic exception and have an approved exception application, the performance category reweighting from the automatic exception will supersede any performance category reweighting approved through the application.

How Do I Apply?

You need a HCQIS Access Roles and Profile (HARP) account to submit a MIPS EUC Exception application. Once you <a style="box-sizing: border-box; background-color: rgba(0, 0, 0, 0); color: #04838A; text-decoration-line: underline" href="https://qpp.cms.