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08/18/2026

Quality Payment Program (QPP)

2026 APM Incentive Payments Now Disbursed - Action May Be Required

The Centers for Medicare & Medicaid Services (CMS) has disbursed 2026 Advanced Alternative Payment Model (APM) Incentive Payments to eligible clinicians based on Qualifying APM Participant (QAP) Performance Period 2024. 

To view your payment details, log in to the QPP website using your HARP credentials. Payment information is available at both the 10-digit NPI and organization levels. 

Do You Need to Act? 

Situation 

Action Required 

✅ You received your payment 

No action needed 

❌ You have not received your payment 

See below — action may be required 

If you have not received your payment: 


Reminder to Submit Comments on the CY 2027 PFS Proposed Rule Policy Changes for Quality Payment Program by 9/14/2026

The Centers for Medicare & Medicaid Services (CMS) has issued its Calendar Year (CY) 2027 Medicare Physician Fee Schedule (PFS) Proposed Rule, which includes proposed policies for the Quality Payment Program (QPP). 

The CY 2027 PFS Proposed Rule includes proposals for the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs), as well as several Requests for Information (RFIs). 

Specifically, we’re proposing policies that: 

2027 Policy Proposal Highlights 

Key QPP policies that we are proposing in the CY 2027 Medicare PFS Proposed Rule include: 

Overview of RFIs 

We are also seeking feedback on RFIs about the following topics: 

How Do I Comment on the CY 2027 Proposed Rule? 

The proposed rule includes directions for submitting comments within the 60-day comment period. Comments must be submitted by Monday, September 14, 2026. 

When commenting, refer to file code: CMS-1848-P 

We don’t accept FAX transmissions. 

Use 1 of the 3 following ways to officially submit your comments: 

Additional Resources 

Learn more about QPP proposals in the following resources: 


2026 MIPS Value Pathway (MVP) Registration 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 a 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: 

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 

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

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