April 1 Update: The COVID-19 2020 MIPS PY hardship exception application is now closed. CMS has announced a similar exception application for the 2021 MIPS PY, but has not yet provided details.
February 25, 2021 Update: The COVID-19 2020 MIPS PY hardship exception has been re-opened. See the MIPS 2020 Performance Year section below for details.
CMS has indicated in its final rule for the CY2021 MPFS that this exception will be available to reweight one to all of the performance categories to zero, for a neutral payment adjustment to the 2023 payment year. CMS has not provided additional details on when this application will be available or if it will have the same application standards and requirements as the 2020 exception application. As soon as APMA knows more, more details will be shared with members.
On June 24, CMS announced that any clinician "significantly impacted" by the COVID-19 public health emergency may submit an Extreme & Uncontrollable Circumstances (EUC) Application to reweight any or all MIPS performance categories for the 2020 PY if they choose. This decision was a welcome announcement after APMA had requested 2020 MIPS flexibilities in communications with CMS.
CMS reopened this application on February 25, 2021, and closed it on March 31, 2021. How it applied and whether or not your practice was eligible for the automatic exception or eligible but required to apply for the exception depended on the size of your practice and how many performance categories you had already submitted data for.
For more information about this re-opening and extension of this EUC exception related to COVID-19 for the 2020 Performance year, visit https://qpp.cms.gov/resources/covid19.
Need help? Follow APMA's step-by-step instructions, and watch this instructional video:
CMS announced on March 22, 2020, that there will be no penalty in 2021 for MIPS-eligible clinicians, reporting as individuals, who do not submit MIPS data for the 2019 performance year. Such clinicians will be automatically exempted under the extreme and uncontrollable circumstances policy exception. This automatic exception for individual clinicians also extends to clinicians who may have already reported data for only one MIPS performance category. The MIPS participation lookup tool has been updated to reflect this change. Providers can check their status here.
For MIPS eligible clinicians who:
CMS has re-opened the 2019 extreme and uncontrollable circumstances application. These clinicians must proactively submit their application and request that all four performance categories be re-weighted to zero percent. This application must be submitted by April 30, 2020.
The application is available to:
Clinicians can submit the application here. When completing the application, please make sure that you:
An extreme and uncontrollable circumstance application submitted between April 3–April 30, 2020, citing COVID-19, and approved by CMS, will override any previous data submission.