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Federal forms, ICRs, and supporting documents

Information Collection Request

Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS) (CMS-10621)

ICR 202409-0938-018 · OMB 0938-1314 · Received in OIRA

Forms and Documents
Document
Name
Status
Form and Instruction
 New
Form and Instruction
 Removed
Supporting Statement B
2024-09-17
Supporting Statement A
2024-09-17
IC Document Collections
IC ID
Document
Title
Status
271014 New
250664 Removed
ICR Details
0938-1314 202409-0938-018
Received in OIRA 202311-0938-006
HHS/CMS CCSQ
Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS) (CMS-10621)
Revision of a currently approved collection   No
Regular 09/19/2024
  Requested Previously Approved
36 Months From Approved 02/28/2027
136,053 191,225
649,776 728,142
0 0
Section 1848(q) of the Social Security Act, as amended by section 101 of the Medicare Access and CHIP Reauthorization Act of 2015, authorizes the establishment of a Merit-based Incentive Payment System (MIPS) for eligible clinicians. Beginning in CY 2017, eligible clinicians are required to collect and submit data on four performance categories to CMS (quality, cost, advancing care information and improvement activities). This program replaces and consolidates portions of the PQRS, Value-based Modifier, and the Medicare EHR Incentive Program. The Act also establishes a second track, Advanced Alternative Payment Models (APMs) for clinicians to participate in instead of MIPS.
US Code: 42 USC 1395w-4 Name of Law: Medicare Access and CHIP Reauthorization Act of 2014
  
US Code: 42 USC 1395w-4 Name of Law: Medicare Access and CHIP Reauthorization Act of 2014
0938-AV33 Proposed rulemaking 89 FR 61596 07/31/2024
  89 FR 61596 07/31/2024
No
1
IC Title Form No. Form Name
CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary Appendix J1, Appendix A1, Appendix B1, Appendix D1, Appendix E, Appendix F, Appendix G1, Appendix H1, Appendix K1, Appendix L, Appendix C1, Appendix I1 2024 MIPS QCDR and Registry Self-nomination User Guide ,   2024 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form) ,   2024 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form) ,   2024 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option ,   Measures under Consideration 2023 Data Template for Candidate Measures ,   2023 Peer Reviewed Journal Article Requirement Template ,   Improvement Activities Performance Category, 2024 Call for Activities Submission Form ,   2023 MIPS Promoting Interoperability Hardship Exception Application Guide ,   2023 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide ,   2024 MVP Candidates: Instructions and Template ,   2023 Partial QP Election Form ,   2023 MVP Registration Form
CY 2025 Performance Period/2027 MIPS Payment Year Appendix A1, Appendix B, Appendix C, Appendix D, Appendix F1, Appendix H1, Appendix I1, Appendix J, Appendix L, Appendix E1, Appendix G, Appendix K 2025 MIPS QCDR and Registry Self-nomination User Guide ,   2024 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form) ,   2024 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission ,   2024 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option ,   Measures under Consideration 2024 Data Template for Candidate Measures ,   2024 Peer Reviewed Journal Article Requirement Template ,   Improvement Activities Performance Category, 2024 Call for Activities Submission Form ,   2024 MIPS Promoting Interoperability Hardship Exception Application Guide ,   2024 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide ,   2024 MVP Candidates: Instructions and Template ,   2023 Partial QP Election Form (for submission in CY 2024) ,   2024 MVP Registration Form
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 136,053 191,225 0 136,053 -191,225 0
Annual Time Burden (Hours) 649,776 728,142 0 649,776 -728,142 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The changes in this CY 2025 collection of information request are associated with our July 31, 2024 (89 FR 61596) proposed rule (CMS-1807-P, RIN 0938–AV33). Overall, this iteration proposes to decrease the current estimates by 55,172 responses (from 191,225 to 136,053 responses) and 78,366 hours (from 728,142 to 649,776 hours).
$384
Yes Part B of Supporting Statement
    Yes
    Yes
No
No
No
No
Mitch Bryman 410 786-5258 Mitch.Bryman@cms.hhs.gov
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/19/2024