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

Forms and Documents

Document Name	Status
Form Appendix A 2027 Performance Period/2029 MIPS Payment Year Form and Instruction	New
Form Appendix A CY 2026 Performance Period/2028 MIPS Payment Year Form and Instruction	Modified
CMS-10621_Supporting_Statement_B_(CMS-1832-P_version 1)_508.docx Supporting Statement B	2025-09-05
CMS-10621_Supporting_Statement_A_(CMS-1832-P_version 3)_508 CLEAN.docx Supporting Statement A	2025-09-05

IC Document Collections

IC ID	Document Title	Status
277412	2027 Performance Period/2029 MIPS Payment Year Form and Instruction	New
271014	CY 2026 Performance Period/2028 MIPS Payment Year Form and Instruction	Modified

ICR Details

OMB Control No: 0938-1314	ICR Reference No: 202509-0938-009
Status: Received in OIRA	Previous ICR Reference No: 202412-0938-008
Agency/Subagency: HHS/CMS	Agency Tracking No: CCSQ
Title: Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS) (CMS-10621)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/09/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	02/28/2027
Responses	283,380	135,984
Time Burden (Hours)	1,184,045	649,371
Cost Burden (Dollars)	0	0

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Abstract: 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.

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Authorizing Statute(s): US Code: 42 USC 1395w-4 Name of Law: Medicare Access and CHIP Reauthorization Act of 2014
  

Citations for New Statutory Requirements: US Code: 42 USC 1395w-4 Name of Law: Medicare Access and CHIP Reauthorization Act of 2014

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AV50	Proposed rulemaking	90 FR 32352	07/16/2025

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 32352	07/16/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
2027 Performance Period/2029 MIPS Payment Year	Appendix G, Appendix I, Appendix J, Appendix L, Appendix K, Appendix E, Appendix A, Appendix B, Appendix C, Appendix D, Appendix F, Appendix H	2026 MIPS QCDR and Registry Self-nomination User Guide ,   2026 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form) ,   2026 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form) ,   2026 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option ,   Measures under Consideration 2025 Data Template for Candidate Measures ,   2025 Peer Reviewed Journal Article Requirement Template ,   Improvement Activities Performance Category, 2026 Call for Activities Submission Form ,   2025 MIPS Promoting Interoperability Hardship Exception Application Guide ,   2025 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide ,   2025 MVP Candidates: Instructions and Template ,   2025 Partial QP Election Form (for submission in CY 2026) ,   2025 MVP Registration Form
CY 2026 Performance Period/2028 MIPS Payment Year	Appendix A, Appendix B, Appendix C, Appendix D, Appendix F, Appendix H, Appendix I, Appendix J, Appendix L, Appendix G, Appendix K, Appendix E	2026 MIPS QCDR and Registry Self-nomination User Guide ,   2026 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form) ,   2026 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form) ,   2026 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option ,   Measures under Consideration 2025 Data Template for Candidate Measures ,   2025 Peer Reviewed Journal Article Requirement Template ,   Improvement Activities Performance Category, 2026 Call for Activities Submission Form ,   2025 MIPS Promoting Interoperability Hardship Exception Application Guide ,   2025 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide ,   2025 MVP Candidates: Instructions and Template ,   2025 Partial QP Election Form (for submission in CY 2026) ,   2025 MVP Registration Form

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ICR Summary of Burden

	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	283,380	135,984	0	147,396	0	0
Annual Time Burden (Hours)	1,184,045	649,371	1,733	532,941	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Overall, this iteration proposes to adjust the current estimates for the CY 2026 performance period/2028 MIPS payment year by plus 5,706 responses and minus 58,216 hours. Additionally, we propose adjusting the estimates for the CY 2027 performance period/2029 MIPS payment year by plus 1,733 hours. See Table series 34 of this Supporting Statement for a summary of this iteration’s rule and non-rule related changes for each ICR. We have also revised Appendices A through L. See section 12 of this Supporting Statement for additional details.

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Annual Cost to Federal Government: $392

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/09/2025

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