01/18/2026

Quality Payment Program (QPP)

2025 QPP Data Submission is Now Open 

The Centers for Medicare & Medicaid Services (CMS) has opened data submission for the 2025 performance year of the Quality Payment Program (QPP). Data can be submitted and updated until March 31, 2026, 8 p.m. ET.  

How to Submit and Review Your 2025 MIPS Data  

Follow the steps outlined below to submit data:  

• Go to the QPP sign in page.  
• Sign in using your QPP access credentials. 
• Submit your data for the 2025 performance year or review the data reported on your behalf by a third party. (You can’t correct errors with your data after the submission period, so it’s important to make sure the data submitted on your behalf is accurate.)   

Submission resources have been uploaded to QPP Resource Library. Helpful resources for data submission include: 

• 2025 Traditional MIPS Data Submission User Guide (PDF, 4.2MB) 
• 2025 MVP Data Submission User Guide (PDF, 3.5MB)
• 2025 QPP JSON Templates and Instructions (ZIP, 1112KB)
• 2025 File Upload Troubleshooting FAQs (PDF, 556KB)

2026 MIPS Payment Adjustments in Effect Based on 2024 Performance

In October 2025, we updated performance feedback to identify the MIPS payment adjustment factor(s) associated with their 2024 final score. This information was added to their 2024 MIPS performance feedback, available on the QPP website. 

2026 MIPS payment adjustments, based on each MIPS eligible clinician’s 2024 MIPS final score, will be applied to payments made for Part B covered professional services payable under the Physician Fee Schedule from January 1 to December 31, 2026. Payment adjustments are determined by the final score associated with a clinician’s Taxpayer Identification Number (TIN)/National Provider Identifier (NPI) combination. 

MIPS eligible clinicians, identified by TIN/NPI combination for the 2024 performance year, will receive a positive, neutral, or negative MIPS payment adjustment in 2026 if they: 

• Were a clinician type that was included in MIPS 
• Enrolled in Medicare prior to January 1, 2024 
• Weren’t a Qualifying Alternative Payment Model (APM) Participant (QP) 
• Were a Partial Qualifying APM Participant (Partial QP) that elected to participate in MIPS as a MIPS eligible clinician; and 
• Met one of the following criteria:  
• Individually exceeded the low-volume threshold 
• Were in a practice that exceeded the low-volume threshold at the group level and submitted group or APM Entity data; or 
• Were part of an approved virtual group 

For More Information  

Visit the QPP Resource Library for the 2026 MIPS Payment Adjustment User Guide (PDF, 1MB) and more QPP resources. 

2026 Quality Measures Specifications are Available

Quality Measure Specifications for the 2026 performance year are now available on the QPP Resource Library: 

• 2026 Electronic Clinical Quality Measure (eCQM) Specifications (Link)
• 2026 MIPS Clinical Quality Measure Specifications and Supporting Documents (ZIP, 40.8MB)
• 2026 Medicare Part B Claims Measure Specifications and Supporting Documents (ZIP, 8.4MB)
• 2026 Qualified Clinical Data Registry (QCDR) Measure Specifications (XLSX, 619KB)
• 2026 MIPS Quality Measure List (XLSX, 813KB)

2026 Improvement Activities – New Resources

New resources are now available on the QPP Resource Library for the Improvement Activities performance category: 

• 2026 MIPS Improvement Activities Quick Start Guide (PDF, 1244KB)
• 2026 Improvement Activities Inventory (ZIP, 453KB)