12/17/2025

Quality Payment Program (QPP)

Calendar Year 2025

Deadline to Submit 2025 MIPS Exception Application is December 31, 2025

The 2025 Quality Payment Program (QPP) Merit-based Incentive Payment System (MIPS) Extreme and Uncontrollable Circumstances Exception application is available now through December 31, 2025, at 8 p.m. ET. This application allows users to indicate the reason they’re unable to report data for one or more MIPS performance categories. 

How to Apply 

To submit an EUC exception application: 

• Sign in to the QPP websitewith your Health Care Quality Information System (HCQIS) Access Roles and Profile (HARP) account. 

• Choose “Exceptions Application” from the left-hand navigation. 

• Click “Add New QPP Exception” on the right side of the screen. 

• Choose “Extreme and Uncontrollable Circumstances Exception.” 

Check Final 2025 MIPS Eligibility Status

Enter your 10-digit National Provider Identifier (NPI) in the Quality Payment Program (QPP) Participation Status Tool and review your final 2025 eligibility status for the Merit-based Incentive Payment System (MIPS).  

We’ve updated your eligibility status based on our review of Medicare Part B claims and Medicare Provider Enrollment, Chain, and Ownership System (PECOS) data from the second segment of the MIPS Eligibility Determination Period (October 1, 2024 – September 30, 2025).  

• This status is final unless you participate in an Advanced Alternative Payment Model (APM)and your Qualifying APM Participant (QP) status changes as a result of the third APM Snapshot for the 2025 performance year. 

• Results from the third APM Snapshot will also be available in December 2025 and will be announced through the QPP listserv.   

• NOTE: We’re updating results for the rural special status in the next few weeks based on the most recent Federal Office of Rural Health Policy (FORHP) Eligible ZIP code file available. Please check back at the end of December to confirm whether you have the rural special status for 2025.   

Clinicians and groups that aren’t eligible for MIPS can still choose to report data via traditional MIPS. Clinicians and groups who are identified as “opt-in eligible” on the QPP Participation Status Tool and want to report data can:  

• Elect to Opt-in to MIPS. You’ll receive a MIPS payment adjustment (positive, negative, or neutral).   

• Elect to Voluntarily Report. You won’t receive a MIPS payment adjustment.   

 Once made, your election is binding and irreversible.  

If you don’t want to report, you don’t have to make an election. Opt-in eligible clinicians and groups aren’t required to participate.  

Prepare for 2025 Performance Year Data Submission 

Confirm Access to Healthcare Quality Information System (HCQIS) Roles and Profile Account (HARP) 

In preparation for the 2024 performance year data submission period, which opens on January 2, 2026, we encourage you to sign in to the QPP website with your existing HARP account to ensure you don’t lose access. 

 If you don’t already have a HARP account and QPP role, please create one. For more information on how to create a HARP account and user profile, review the QPP Access User Guide (ZIP, 4 MB). For a video walking you through the HARP registration process, visit the HARP YouTube playlist. 

If you have a HARP account, confirm that you can access your account. If you’ve forgotten your user ID or password, you can review the HARP Password Reset video for more information on how to regain access to your account. 

Calendar Year 2026

Check Preliminary 2026 MIPS Eligibility Status

Enter your 10-digit National Provider Identifier (NPI) in the Quality Payment Program (QPP) Participation Status Tool and review your initial 2026 eligibility status for MIPS.  

Upcoming QPP Service Center Hold Times 

Due to the opening of the 2025 MIPS data submission period, the QPP Service Center is projecting an increase in volume between January 2, 2026, and March 31, 2026, which could result in longer wait times. 

Additional Resources 

• Quality Payment Program Access User Guide(ZIP, 4MB) – Refer to “Step 1: Register for a HARP Account.” 
• Exception Applications (webpage on the QPP website)
• 2025 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide (PDF, 2MB)