The Centers for Medicare & Medicaid Services (CMS) has extended the 2019 Merit-based Incentive Payment System (MIPS) data submission deadline by 30 days, from March 31 to April 30, 2020. This is designed to provide relief to clinicians responding to the COVID-19 pandemic. In addition, the MIPS automatic "extreme and uncontrollable circumstances" policy will apply to MIPS-eligible clinicians who do not submit their MIPS data by the April 30, 2020 deadline.
Here are a few facts provided by CMS in the QPP Resource Library, to answer the most common questions clinicians might have during this time.
What is the MIPS automatic extreme and uncontrollable circumstances policy?Beginning with the 2017 performance period, CMS established an automatic extreme and uncontrollable circumstances policy in MIPS for clinicians affected by natural disasters and emergencies. Clinicians affected by these extreme and uncontrollable circumstances may have their performance categories reweighted and potentially receive a neutral payment adjustment.
What does the MIPS automatic extreme and uncontrollable circumstances policy for COVID-19 mean for me or my lab in the 2019 performance period?CMS has determined that the MIPS automatic extreme and uncontrollable circumstances policy will apply to MIPS-eligible clinicians who do not submit their 2019 MIPS data by the April 30, 2020 extended deadline. If you are a MIPS-eligible clinician and do not submit any MIPS data by April 30, 2020, you won’t need to take any additional action to qualify for the automatic extreme and uncontrollable circumstances policy. You will be automatically identified and will receive a neutral payment adjustment for the 2021 MIPS payment year.
Who can I contact for more information?
You can subscribe to the QPP listserv for updates (scroll to the bottom of the QPP website to sign up). Contact the Quality Payment Program at 1-866-288-8292 or by email.