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04/14/2026

Quality Payment Program (QPP)

2026 MIPS Value Pathway (MVP) Registration Now Open

The Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs) registration window is open for the 2026 performance year. Individuals, groups, subgroups, and Alternative Payment Model (APM) Entities that wish to report an MVP can register until November 30, 2026, at 8 p.m. ET. 

To register, you’ll sign in to the QPP website with your HCQIS Access and Roles Profile (HARP) account. 

You must have a HARP account and QPP Security Official role to complete the MVP Registration. 

Prepare for MVP Registration  

Before you register, you’ll need to have the following items identified: 

  • The MVP you plan to report 
  • Whether you plan to administer the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey, if it’s a quality measure option in your selected MVP 
  • Whether you want to be evaluated on an outcomes-based administrative claims quality measure, if it’s a quality measure option in your selected MVP 
  • The participation option you plan to use individual, group, subgroup, or APM Entity 

Additional Information for Group Registration  

Starting in 2026, to register for MVP reporting as a group, your practice will need to attest to their specialty composition (whether you’re a single specialty group or multispecialty small practice) during the MVP registration process. We won't make this determination for you. All other groups will need to participate as subgroups or as individuals (if eligible) to report an MVP.  

A single specialty group means a group that consists of clinicians in one specialty type, or clinicians in more than one specialty type with a single clinical focus of care. For example, a group consisting of internists, cardiologists, nurse practitioners, and physician assistants that are focused on providing cardiovascular care could attest to being a single specialty group and register to report an MVP as a group. 

How to Register 

Individuals, groups, subgroups and APM Entities will register on the QPP website. You'll need to have the Security Official role to register your organization. Please refer to the QPP Access User Guide (ZIP, 5MB) for information about obtaining a Security Official role for your organization. To register: 

  • Sign in to QPP
  • Click Register or edit an MVP registration from the landing page 
  • Click your MVP reporting option 

Note: If the CAHPS for MIPS Survey is included in your chosen MVP and you plan to use it as one of your four required measures, you must complete both your MVP registration and a separate CAHPS for MIPS Survey registration by June 30, 2026, at 8 p.m. ET. Visit the QPP website for details on registering for the CAHPS for MIPS Survey. 

Additional Resources 

2026 CAHPS for MIPS Survey Registration Now Open 

Registration is open through June 30, 2026, at 8 p.m. ET for the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for the Merit-based Incentive Payment System (MIPS) Survey for the 2026 performance year. 

Who doesn’t need to register? 

  • Medicare Shared Savings Program ACOs 
  • These ACOs are required to report the APP Plus so they’re automatically registered for the CAHPS for MIPS Survey, which is a required measure in the APP Plus. 
  • These ACOs don’t need to register but will still need to contract with a CMS-approved vendor to administer the CAHPS for MIPS Survey. Instructions will be provided later. 

Who must register? 

  • Groups and APM Entities (excluding Shared Savings Program ACOs) with 2 or more clinicians (including at least one MIPS eligible clinician) that choose to report the APP or APP Plus must register because the CAHPS for MIPS Survey is a required measure when reporting the APP or APP Plus.
  • Groups, virtual groups, and APM Entities with 2 or more clinicians (including at least one MIPS eligible clinician) that intend to administer the CAHPS for MIPS Survey as 1 of their 6 quality measures for reporting traditional MIPS. 
  • Groups, subgroups, and APM Entities with 2 or more clinicians (including at least one MIPS eligible clinician) that are registered to report the following MVPs and intend to administer the CAHPS for MIPS Survey as 1 of their 4 quality measures:

    • Adopting Best Practices and Promoting Patient Safety within Emergency Medicine MVP
    • Advancing Cancer Care MVP
    • Optimal Care for Patients with Urologic Conditions MVP
    • Value in Primary Care MVP
    • Vascular Surgery MVP 

How to Register 

Groups, virtual groups, and APM Entities will register on the QPP website. You'll need to have the Security Official role to register your organization. Please refer to the QPP Access User Guide (ZIP, 5MB) for information about obtaining a Security Official role for your organization. To register: 

  • Sign in to QPP
  • Click Start Registration from the landing page 
  • Click Register or Edit CAHPS Registration

Subgroups interested in administering the CAHPS for MIPS Survey as 1 of their 4 required quality measures will need to complete their MVP registration prior to registering for the CAHPS for MIPS Survey. After completing the subgroup’s MVP registration, they will need to contact the QPP Service Center by emailing QPP@cms.hhs.gov, creating a QPP Service Center ticket, or calling 1-866-288-8292 (Monday through Friday, 8 a.m. – 8 p.m. ET) to register for the CAHPS for MIPS Survey. 

You must register by 8 p.m. ET on June 30, 2026 

Additional Resources 

 

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