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Automatic MIPS Exception for Some Providers Impacted by Hurricanes Helene and Francine

  • Oct 14, 2024

CMS is applying an automatic 2024 MIPS exception to certain MIPS eligible clinicians in certain counties of FloridaGeorgiaNorth CarolinaSouth CarolinaTennessee, and Louisiana following Hurricanes Helene and Francine. The long list of these counties can be found on the FEMA website or by clicking on the state name in the preceding sentence.

MIPS eligible clinicians in these counties who report as individuals will be automatically identified and have all four MIPS performance categories reweighted to 0 percent for the 2024 performance year unless they submit data on two or more performance categories. Those who do submit data on two or more performance categories will be scored on those performance categories, will not receive the automatic exception, and will receive a 2026 MIPS payment adjustment based on their 2024 MIPS final score. When the 2024 automatic exception is applied, a provider will not receive a penalty or a bonus for the 2026 MIPS payment year.

You can access more information on MIPS exceptions on the QPP website.