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Centers for Medicare & Medicaid Services Quality Payment Program
* Merit-based Incentive Payment System (MIPS) Automatic Extreme and Uncontrollable Circumstances (EUC) Policy Applied to MIPS Eligible Clinicians in Florida [ #link_1 ]
* New Resources Available: Teach Me Clinical Quality Language (CQL) Video Series [ #link_2 ]

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Merit-based Incentive Payment System (MIPS) Automatic Extreme and Uncontrollable Circumstances (EUC) Policy Applied to MIPS Eligible Clinicians in Florida

In response to Hurricane Debby, as identified by both the Health and Human Services (HHS) Public Health Emergency (PHE) declaration (Florida [ https://aspr.hhs.gov/legal/PHE/Pages/Florida-Debby-Aug2024.aspx ]) and Federal Emergency Management Agency (FEMA) disaster declaration (DR-4806-FL [ https://www.fema.gov/disaster/4806 ]), the Centers for Medicare & Medicaid Services (CMS) has determined that the MIPS automatic EUC policy will apply to MIPS eligible clinicians in designated affected counties of Florida.

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 2024 performance period (January 2 to March 31, 2025). This will result in a score equal to the performance threshold, and they'll receive a neutral payment adjustment for the 2026 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 2026 MIPS payment adjustment based on their 2024 MIPS final score.

NOTE: The MIPS automatic EUC policy doesn’t apply to MIPS eligible clinicians participating in MIPS as a group, subgroup, virtual group, or Alternative Payment Model (APM) Entity. However, groups, virtual groups, and APM Entities can request reweighting through the EUC Exception application. Subgroups will inherit any reweighting approved for their affiliated group; they can’t request reweighting independent of their affiliated group’s status.

*For More Information *

Please reference the MIPS EUC Exception section on the Quality Payment Program Exception Applications webpage [ https://qpp.cms.gov/mips/exception-applications?py=2024 ] and review the 2024 MIPS Automatic EUC Policy Fact Sheet (PDF, 352KB) [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/2840/2024-MIPS-Automatic-EUC-Policy.pdf ]. [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/2840/2024-MIPS-Automatic-EUC-Policy.pdf ]

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New Resources Available: Teach Me Clinical Quality Language (CQL) Video Series

As part of continuing education and outreach for electronic clinical quality measure (eCQM) standards, the Centers for Medicare & Medicaid Services (CMS) has added three topics to the Teach Me Clinical Quality Language (CQL) video series. The intent of the videos is to support health care quality leaders, health information technology vendors, and measure developers understand the use of CQL.

*_New Teach Me CQL videos:_*__


* Fluent Functions [ https://www.youtube.com/watch?v=aanr0Zou1cE&ab_channel=CMSHHSgov ]
* This video provides an overview of the use and benefits of using fluent functions in CQL, compares fluent functions to non-fluent functions, and provides examples.

* Hospitalization with Observation [ https://www.youtube.com/watch?v=3yqwOU2XcZM&ab_channel=CMSHHSgov ]
* This video provides an overview of the Hospitalization with Observation function and an example of use for the function.

* Day of versus Date from [ https://www.youtube.com/watch?v=T9ChOCWBCMg ]
* This video provides an overview of timing precision in date comparisons in CQL, reviews the use of Day of and Date from in CQL, and examples of timing precision and day of and date from in current program eCQMs.

Please submit CQL-related questions to ecqm@icf.com <cql@icf.com>. To find tools, resources, and additional CQL educational materials, visit the CQL page [ https://ecqi.healthit.gov/cql ] on the Electronic Clinical Quality Improvement (eCQI) Resource Center.

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


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