09/16/2026

Quality Payment Program (QPP)

Calendar Year (CY) 2027 CMS Physician Fee Schedule (PFS) Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) has released the CY 2027 Medicare PFS Proposed Rule, which includes proposed policies for QPP. The proposed rule includes proposals for MIPS and Advanced Alternative Payment Models (APMs), and includes several Requests for Information (RFIs).  

Key QPP proposals that are applicable to small practices include:  

• Sunsetting the traditional MIPS reporting option after the 2028 performance year. 
• Introducing 3 new MIPS Value Pathways (MVPs) for the 2027 performance year related to diabetic disease, hypertension, and hospitalists, and modifying all 27 previously  finalized MVPs.  

Learn more about the QPP proposals by reviewing the following resources: 

• Overview of the 2027 Proposed Rule for the QPP (LINK)– This webinar provides an overview of proposed policies for the 2027 performance year of the QPP. CMS subject matter experts discuss proposed policy changes for traditional MIPS, MVPs, the Medicare Shared Savings Program, and APMs.  
• 2027 QPP Proposed Rule Fact Sheet and Policy Comparison Table (PDF, 815KB)– This resource provides an overview of QPP proposals and RFIs included in the CY 2027 Medicare PFS Proposed Rule, and a comparison table that contrasts existing policies with proposals. 
• Proposed Timeline: Transitioning from Traditional MIPS to MVPs (PDF, 1MB)– This graphic displays the timeline for sunsetting traditional MIPS as proposed in the CY 2027 Medicare PFS Proposed Rule.  
• MVP Transition Toolkit for Small Practices (ZIP, 1MB)– This new resource provides guidance for small practices participating in MIPS as they transition from traditional MIPS to MVP reporting. It includes a tool to help identify applicable MVPs based on the measures you currently report. 
• 2027 Proposed and Modified MVP Guide (PDF, 1MB)– This resource provides details on the newly proposed MVPs and proposed changes to existing MVPs.  
• Explore MVPson the QPP website – This webpage provides information on the proposals for new and updated MVPs.

CY 2024 QPP Performance Information Has Been Released

The Centers for Medicare & Medicaid Services (CMS) has added calendar year (CY) 2024 Quality Payment Program (QPP) performance information for clinicians, groups, virtual groups, subgroups, and Accountable Care Organizations (ACOs) in the Provider Data Catalog (PDC) and on clinician and group profile pages in the Medicare.gov compare tool. CMS is required to report the final scores and performances of Merit-based Incentive Payment System (MIPS)-eligible clinicians under each MIPS performance category, and both the names of Advanced Alternative Payment Models (APMs) and of eligible clinicians in Advanced APMs. Performance information for clinicians is displayed using measure-level star ratings, percent performance scores, and check marks.

Medicare patients and caregivers can use the Medicare.gov compare tool to search for and compare clinicians and groups enrolled in Medicare. Publicly reporting CY 2024 QPP performance information helps empower patients to select and access the right care from the right clinician.

The following documents, available on the Public Reporting: Doctors and Clinicians Initiative webpage and in the QPP Resource Library, include details about the CY 2024 QPP performance information recently added to the PDC and to clinician and group profile pages on the Medicare.gov compare tool:

• CY 2024 QPP Performance Information Published on the Medicare.gov Compare Tool Fact Sheet (304.31KB) (PDF)
• CY 2024 Clinician Performance Information on the Medicare.gov Compare Tool (1.17MB) (PDF)
• CY 2024 Clinician and Group Star Ratings on the Medicare.gov Compare Tool Fact Sheet (462.07KB) (PDF)
• CY 2024 Medicare.gov Compare Tool Clinician and Group Star Rating Cut-Offs (281.3KB) (XLSX)
• CY 2024 QPP: Doctors and Clinician Performance Information on the Medicare.gov Compare Tool YouTube Video

If you have any questions about public reporting of clinicians and groups in the PDC and on the Medicare.gov compare tool, contact the Quality Payment Program Service Center by emailing QPP@cms.hhs.gov, by creating a QPP Service Center ticket, or by calling 1-866-288-8292 (Monday through Friday 8 a.m. – 8 p.m. ET).  Please consider calling during non-peak hours, before 10 a.m. and after 2 p.m. ET.

People who are deaf or hard of hearing can dial 711 to be connected to a TRS Communications Assistant.

First Snapshot of 2026 Qualifying APM Participant Status and APM Participation Data Now Available

On July 13, 2026, CMS updated its QPP Participation Status Tool based on the first snapshot of Alternative Payment Model (APM) data. The first snapshot includes data from Medicare Part B claims with dates of service between January 1, 2026, and March 31, 2026. 

The tool includes 2026 Qualifying APM Participant (QP) status and MIPS APM participation status. 

To learn more about how CMS determines QP and the APM participation status for each snapshot, please visit the APM Determination Periods webpage on the QPP website. 

What Action Do I Need to Take? 

• Log in to the QPP Portal and verify your Entity information. 
• If your information is inaccurate on the QPP website, contact the QPP helpdesk at QPP@cms.hhs.gov. 

How Do I Check My QP or APM Participation Status? 

To view your QP or APM participation status: 

• Go to the QPP Participation Status Tool. 
• Enter your 10-digit National Provider Identifier (NPI). 

What Does QP Status Mean? 

If you qualify as a QP, this means you are: 

• Eligible for APM-specific rewards. 
• Exempt from participating in MIPS. 

Learn More 

For more information on APMs, visit the QPP APM Overview webpage. For a 2025 and 2026 Comprehensive List of APMs (PDF, 360KB) and other APM-related materials, visit the QPP Resource Library.  

2026 MVPs Registration Open

The MVPs registration window is open for the 2026 performance year. Individuals, groups, subgroups, and APM Entities that want to report an MVP can register until November 30, 2026. 

Visit the Explore MVPs page to learn more about the available MVPs for the 2026 performance period. 

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. 

How to Signal Your Intent to Report an MVP Via Medicare Part B Claims 

If you’re reporting an MVP via Medicare Part B claims, you must signal your intent to report an MVP by submitting an MVP identifier that corresponds with the MVP being reported.  

• The appropriate MVP identifier must be appended on at least one Medicare Part B claimthat includes an applicable Quality Data Code (QDC) for one of the quality measures in your selected MVP.  
• The MVP identifier needs to be reported only once during the performance periodto attribute your quality measures to the MVP. If you don’t append the MVP identifier to at least one claim, your Medicare Part B claims measures will be attributed to a quality score in traditional MIPS (and not the MVP). 

Refer to Appendix D of the 2026 Part B Claims Quality Reporting Quick Start Guide (PDF, 2MB) for an example of how to append an MVP identifier to a Medicare Part B claim and Appendix F for a list of MVP identifiers.  

If you need help with reporting Medicare Part B claims measures, please contact the QPP Service Center by emailing QPP@cms.hhs.gov, creating a ticket through the QPP Service Center, or calling 1‑866‑288‑8292 (Monday through Friday, 8 a.m. – 8 p.m. ET). 

2025 MIPS Final Scores and Targeted Review Timeline

CMS anticipates publishing the MIPS final scores for the 2025 performance year in October. At that time, the Targeted Review period will open, allowing you to request a review if needed. MIPS payment adjustments for the 2027 payment year will be released approximately one month after the release of final scores. The Targeted Review period will close 30 days after the MIPS payment adjustments are released. You can continue to access your measure- and activity-level scores for data reported during the submission period. Performance period benchmarks are part of final scoring and will become available only once final scores are released. Once the 2025 final scores are published, we’ll announce their release through the QPP listserv. 

In the meantime, we encourage you to confirm your MIPS eligibility and review the following scoring resources so that you’re prepared to understand your scores when they’re released. 

To confirm your eligibility for a MIPS payment adjustment, enter your National Provider Identifier (NPI) in the QPP Participation Status tool (check “PY 2025”) or sign in to the QPP website and navigate to the Eligibility & Participation page on the left-hand navigation panel. Review “The Basics: Check Your Eligibility” section of the 2025 MIPS Eligibility and Participation Guide (PDF, 2MB), starting on page 15, for more information.  

Review these scoring resources:  

• 2025 Traditional MIPS Scoring Guide (ZIP, 5MB)
• 2025 APP Scoring Guide, included in the PY 2025 APP Toolkit (ZIP, 7MB)
• 2025 MVPs Implementation Guide (PDF, 5MB)