In response to the Federal Emergency Management Agency (FEMA) designation of the recent Kentucky severe storms, flooding, landslides, and mudslides as a major disaster and the Secretary of Health and Human Services (HHS) determination that a public health emergency exists for certain counties in Kentucky, the Centers for Medicare & Medicaid Services (CMS) has determined that the Merit-based Incentive Payment System (MIPS) automatic extreme and uncontrollable circumstances (EUC) policy will apply to MIPS eligible clinicians in designated areas of Kentucky.

MIPS eligible clinicians in these areas will be automatically identified and have all 4 performance categories reweighted to 0% during the data submission period for the 2022 performance period (January 3, 2023 to March 31, 2023). This will result in a score equal to the performance threshold, and they will receive a neutral payment adjustment for the 2024 MIPS payment year.

• However, if MIPS eligible clinicians in these areas submit data on 2 or more performance categories, they’ll be scored on those performance categories and receive a 2024 MIPS payment adjustment based on their 2022 MIPS final score.

NOTE: The MIPS automatic EUC policy doesn’t apply to MIPS eligible clinicians participating in MIPS as a group, virtual group, or Alternative Payment Model (APM) Entity.

For More Information

Please reference the Extreme and Uncontrollable Circumstances Overview section on the About Quality Payment Program (QPP) Exceptions page and review the MIPS Automatic EUC Policy Fact Sheet.