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Centers for Medicare & Medicaid Services Quality Payment Program
Check Final 2025 MIPS Eligibility Status & Prepare for 2025 Data Submission

*Topics:* 


* Check Final 2025 MIPS Eligibility Status  [ #link_1 ]
* Opt-In and Voluntary Reporting Options for 2025  [ #link_2 ]
* Check Initial 2026 MIPS Eligibility on the QPP Website  [ #link_3 ]
* Prepare for 2025 Performance Year Data Submission  [ #link_4 ]

Check Final 2025 MIPS Eligibility Status

Enter your 10-digit National Provider Identifier (NPI) in the Quality Payment Program (QPP) Participation Status Tool [ https://links-2.govdelivery.com/CL0/https:%2F%2Fqpp.cms.gov%2Fparticipation-lookup/1/0101019388b8296f-b42ffcb1-5a90-4f9d-8674-42c663ba409c-000000/DzvrVwI_40xj5TH6lzNUkPvD80mhpkv7WVxrG0UQyVg=381 ] and review your final 2025 eligibility status for the Merit-based Incentive Payment System (MIPS). 

We’ve updated your eligibility status based on our review of Medicare Part B claims and Medicare Provider Enrollment, Chain, and Ownership System (PECOS) data from the second segment of the MIPS Eligibility Determination Period [ https://links-2.govdelivery.com/CL0/https:%2F%2Fqpp.cms.gov%2Fmips%2Fmips-eligibility-determination-periods/1/0101019388b8296f-b42ffcb1-5a90-4f9d-8674-42c663ba409c-000000/x_MsNyuWxjzp0BE4hR2U5EfB78mjaPI9tNYisaGDUrY=381 ] (October 1, 2024 – September 30, 2025). 


* This status is final unless you participate in an Advanced Alternative Payment Model (APM) [ https://links-2.govdelivery.com/CL0/https:%2F%2Fqpp.cms.gov%2Fapms%2Fadvanced-apms/1/0101019388b8296f-b42ffcb1-5a90-4f9d-8674-42c663ba409c-000000/LEMH_kJtLiZpd4RzzjKIrVCFwotE_LKMFjHbhvpgff8=381 ] and your Qualifying APM Participant (QP) status changes as a result of the third APM Snapshot for the 2025 performance year.
* Results from the third APM Snapshot will also be available in December 2025 and will be announced through the QPP listserv. 

Review Your 2025 Eligibility

Your status may have changed, we encourage you to use the QPP Participation Status Tool [ https://links-2.govdelivery.com/CL0/https:%2F%2Fqpp.cms.gov%2Fparticipation-lookup/2/0101019388b8296f-b42ffcb1-5a90-4f9d-8674-42c663ba409c-000000/PhbkBLeKf9UtGe5u_pr8h54o7ak2n34bpYp1edsRADo=381 ] to confirm your final 2025 MIPS eligibility status. 


* If you were *initially eligible for MIPS* at a particular practice, your eligibility status could have changed, and you may no longer be eligible at that practice. Check to make sure you’re still eligible. 
* *NOTE: *We’re updating results for the rural special status in the next few weeks based on the most recent Federal Office of Rural Health Policy (FORHP) Eligible ZIP code file available. Please check back at the end of December to confirm whether you have the rural special status for 2025. 
* If you were *initially ineligible for MIPS* at a particular practice, your eligibility status didn’t change at that practice. 
* If you *joined a new practice* (meaning you billed under, or assigned your billing rights to, a new or different Tax Identification Number (TIN)) *between October 1, 202**4**, and September 30, 202**5*, you need to check your eligibility status at this new practice. 
* If you’re a clinician that *joined a new practice after September 30, 202**5*, you aren’t eligible for MIPS as an individual based on your association with that new practice (identified by TIN). However, you will receive a MIPS payment adjustment if the practice chooses to participate in MIPS as a group.

Final 2025 Eligibility and MIPS Value Pathways (MVP) Registrations: Individuals and Groups

Final MIPS eligibility can affect an individual or group’s ability to report the MVP for which they registered.* An individual (identified by TIN/NPI combination) or group (identified by TIN) that becomes ineligible or opt-in eligible when final eligibility is released can’t report the MVP they registered for.* 

Instead, they can:  


* Voluntarily report traditional MIPS. 
* Opt-in to traditional MIPS reporting (if applicable). 
* Do nothing/don’t report. (Ineligible and opt-in eligible clinicians and groups aren’t required to report.) 

Final 2025 Eligibility and MVP Registrations: Subgroups

*Final eligibility **won’t** change a subgroup’s ability to report the MVP for which they registered.* We only use initial eligibility results to determine a subgroup’s eligibility to register for and report an MVP. 


* If the subgroup’s affiliated group becomes ineligible, or opt-in eligible, when final eligibility is released, the subgroup can still report the MVP for which they registered. 
* If the subgroup reports, the MIPS eligible clinicians in the subgroup will receive the subgroup’s score and associated payment adjustment unless they have a higher score under that TIN/NPI combination from individual, group, or APM Entity participation.  
* If the subgroup doesn’t report data, we won’t assign a score to the subgroup and the individually eligible clinicians in the subgroup would need to report another way. 

For More Information

Learn How MIPS Eligibility Is Determined [ https://links-2.govdelivery.com/CL0/https:%2F%2Fqpp.cms.gov%2Fmips%2Fhow-eligibility-is-determined/1/0101019388b8296f-b42ffcb1-5a90-4f9d-8674-42c663ba409c-000000/vEu_zeS-jd_sAugENFnP_X8SBFqO_PNGDl4Tyb7eD_o=381 ] on the Quality Payment Program website [ https://links-2.govdelivery.com/CL0/https:%2F%2Fqpp.cms.gov%2F/2/0101019388b8296f-b42ffcb1-5a90-4f9d-8674-42c663ba409c-000000/f23xluIhIv-TqNTB3LVlwYj00ko1cv8-Q9dYtjdprwA=381 ] and check out the following resources: 


* 2025 MIPS Eligibility and Participation User Guide (PDF, 2MB) [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/3213/2025-MIPS-Eligibility-and-Participation-User-Guide.pdf ] 

Opt-In and Voluntary Reporting Options for 2025

Clinicians and groups that aren’t eligible for MIPS can still report data via traditional MIPS [ https://links-2.govdelivery.com/CL0/https:%2F%2Fqpp.cms.gov%2Fmips%2Ftraditional-mips/1/0101019388b8296f-b42ffcb1-5a90-4f9d-8674-42c663ba409c-000000/lzu-5TrEz55IwG8KChSQGfFjgeMDhmP08kHB9J1EB_c=381 ]. Clinicians and groups who are identified as “opt-in eligible” on the QPP Participation Status Tool [ https://links-2.govdelivery.com/CL0/https:%2F%2Fqpp.cms.gov%2Fparticipation-lookup/3/0101019388b8296f-b42ffcb1-5a90-4f9d-8674-42c663ba409c-000000/UHPxROvdPqXezsDdAkCulm5BUNYbKVgJ5nzjtZAX4KA=381 ] can: 


* Elect to* Opt-in to MIPS. *You’ll *receive a MIPS payment adjustment* (positive, negative, or neutral). 
* Elect to *Voluntarily Report*. You *won’t receive a MIPS payment adjustment*. 

*Note:* Once you make your election, your election is binding and irreversible. 

Clinicians and groups who are excluded from MIPS and aren’t “opt-in eligible” may choose to voluntarily report data for traditional MIPS (no election required for these clinicians) but they won’t receive a MIPS payment adjustment. 

*Note:* MIPS APM Participants who are “opt-in” eligible also have the option to elect to opt-in and report using the APM Performance Pathway (APP) [ https://links-2.govdelivery.com/CL0/https:%2F%2Fqpp.cms.gov%2Fmips%2Fapm-performance-pathway/1/0101019388b8296f-b42ffcb1-5a90-4f9d-8674-42c663ba409c-000000/htF99d4UVNagSbG6B9TLIxCA2qEch87H01Up1x-ei3A=381 ]. 

Opt-In Elections

* Opt-in eligible clinicians and groups who wish to submit data will need to complete an election to opt-in or voluntarily report in MIPS by signing in to the QPP website [ https://links-2.govdelivery.com/CL0/https:%2F%2Fqpp.cms.gov%2Flogin/1/0101019388b8296f-b42ffcb1-5a90-4f9d-8674-42c663ba409c-000000/dCUxeGXHqrbelEoaLr0I7rKkPlvBTrbHAGkluBCH7hU=381 ]. 
* Qualified Clinical Data Registries (QCDRs) and Qualified Registries can also submit elections on behalf of these clinicians and groups. 
* Elections can be made once the 2025 MIPS submission period opens on January 2, 2026. 

For More Information

The 2025 MIPS Opt-In and Voluntary Reporting Election Guide will be available on the QPP Resource Library [ https://links-2.govdelivery.com/CL0/https:%2F%2Fqpp.cms.gov%2Fresources%2Fresource-library/2/0101019388b8296f-b42ffcb1-5a90-4f9d-8674-42c663ba409c-000000/hSOqhrTOZZwoLUKXiOeL3doXrluQTZbLoFiS3tnFnAw=381 ] by the start of the submission period, but the process is the same as it was for 2024. You can review the 2024 MIPS Opt-In and Voluntary Reporting Guide (PDF, 1MB) [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/3121/2024-Opt-In-Election-Guide.pdf ] now. 

Check Initial 2026 MIPS Eligibility on the QPP Website

Use the QPP Participation Status Tool [ https://links-2.govdelivery.com/CL0/https:%2F%2Fqpp.cms.gov%2Fparticipation-lookup/4/0101019388b8296f-b42ffcb1-5a90-4f9d-8674-42c663ba409c-000000/XeRJqOIEkySIpuDX_2gQuSGTynTrbQRfB9qifJEEmgg=381 ] to check your initial 2026 MIPS eligibility status. 

Enter your 10-digit NPI to review your initial MIPS eligibility. If you’re currently eligible, you should prepare to participate in the 2026 performance year. The MIPS Quick Start Guide will be available on the QPP Resource Library [ https://links-2.govdelivery.com/CL0/https:%2F%2Fqpp.cms.gov%2Fresources%2Fresource-library/2/0101019388b8296f-b42ffcb1-5a90-4f9d-8674-42c663ba409c-000000/hSOqhrTOZZwoLUKXiOeL3doXrluQTZbLoFiS3tnFnAw=381 ] in the coming weeks and can assist with your planning. 

Find Out Today

Find out today whether you’re currently eligible for (required to participate in) MIPS. Prepare now to try to earn a positive payment adjustment in 2028 for your 2026 performance. 

Next Updates to 2026 MIPS Eligibility

* We’ll update results for the rural special status in the next few weeks based on the most recent Federal Office of Rural Health Policy (FORHP) Eligible ZIP code file available. 
* We’ll update the QPP Participation Status Tool [ https://links-2.govdelivery.com/CL0/https:%2F%2Fqpp.cms.gov%2Fparticipation-lookup/5/0101019388b8296f-b42ffcb1-5a90-4f9d-8674-42c663ba409c-000000/u29aq-5_ZnrpfFWgYIUH2p0XFAJsxXe3Pd3QeTy1Rzs=381 ] in December 2026 with final eligibility for the 2026 MIPS performance year. 
* We’ll also update the QPP Participation Status Tool [ https://links-2.govdelivery.com/CL0/https:%2F%2Fqpp.cms.gov%2Fparticipation-lookup/6/0101019388b8296f-b42ffcb1-5a90-4f9d-8674-42c663ba409c-000000/wv2qtxM017gePYobkWn7Vxf7zzSWf1dQQsWaQ5IO9Rg=381 ] to reflect clinicians’ QP status 3 times during the performance year. We anticipate these updates to be available in July, October, and December 2026. 

Prepare for 2025 Performance Year Data Submission

Confirm Access to Healthcare Quality Information Systems (HCQIS) Roles and Profile Account (HARP)

In preparation for the 2025 performance year data submission period, which opens on *January 2, 2026*, we encourage you to sign in to the QPP website with your existing HARP account to ensure you don’t lose access. 

If you don’t already have a HARP account and QPP role, please create one. For more information on how to create a HARP account and user profile, review the QPP Access User Guide (ZIP, 4 MB) [ https://links-2.govdelivery.com/CL0/https:%2F%2Fqpp-cm-prod-content.s3.amazonaws.com%2Fuploads%2F2955%2FQPP-Access-User-Guide.zip/1/01010193b6d4382b-2170e50b-77be-4341-b5c5-582057950663-000000/GHeJMRSMD0G7tb6f_ZJcSzEgHfNVVhMT_-nVJIFW1M4=383 ]. For a video walking you through the HARP registration process, visit the HARP YouTube playlist [ https://links-2.govdelivery.com/CL0/https://www.youtube.com/playlist ]. 

If you have a HARP account, confirm that you can access your account. If you’ve forgotten your user ID or password, you can review the HARP Password Reset video [ https://links-2.govdelivery.com/CL0/https://www.youtube.com/watch ] for more information on how to regain access to your account. 

Upcoming QPP Service Center Hold Times

Due to the opening of the 2025 MIPS data submission period, the QPP Service Center is projecting an increase in volume between January 2, 2026, and March 31, 2026, which could result in longer wait times. 

CMS recommends the following to minimize wait times and ensure successful 2025 data submission: 


* You can request support by clicking on *Schedule a Call*. 
Schedule a Call

You can also submit a ticket for support by clicking on Request Support. 

Request Support
* *Live Chat: CCSQ Support Central Chat and Resource Line (CARL)* 

The Support Central Chat feature, CARL, is another option to use for assistance. To contact the Service Center via Chat, you’ll need to go to the CCSQ Support Central [ https://links-2.govdelivery.com/CL0/https:%2F%2Fcmsqualitysupport.servicenowservices.com%2Fccsq_support_central/1/01010193b6d4382b-2170e50b-77be-4341-b5c5-582057950663-000000/AYF_NlZ654sW3nIriR687E9QAp609IjMZBW_IuV9GBs=383 ] page and click on the Chat icon in the lower right area: 

Carl
Use One Method to Report Issues

Due to the anticipated increase in volume at the QPP Service Center and to minimize a backlog, please use only one method of reporting (email, phone, or CCSQ Support Central) for the same issue. Note: Cases are processed in the order in which they’re received, regardless of how the Service Center was contacted. Please allow time for processing

Submit Your Data Early

We encourage you to submit your 2025 MIPS performance period data early during the submission period. Early submission will allow you plenty of time for Service Center assistance, if needed. 

QPP Footer 2023 [ https://qpp.cms.gov/resources/help-and-support ]


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