CROSSWALK Appendix F: 2025 Peer Reviewed Journal Article Requirement Template

OMB control number: 0938-1314
Expiration Date: 02/28/2027

MIPS Peer-Reviewed Journal
Article Requirement Template
CY 2024 Final versus CY 2025 Final
Burden impact: The changes to this form do not reflect proposals in the CY 2026 Physician
Fee Schedule (PFS) Final Rule for the Quality Payment Program. There are no impacts to
burden as a result of these changes.
Change #1: Updated document title
Location: pg. 1, title.
Reason for Change: Updated to remove year.
CY 2024 Final Rule text: 2024 MIPS Peer-Reviewed Journal Article Requirement Template
CY 2025 Final Rule text: MIPS Peer-Reviewed Journal Article Requirement Template
*****
Change #2: Updated language in second paragraph.
Location: pg. 1, second paragraph, first sentence.
Reason for Change: Updated to current date deadline.
CY 2024 Final Rule text: Interested parties submitting measures for consideration through the
MIPS Annual Call for Quality Measures must complete the required information by the CMS
Annual Call for Measures deadline (8 p.m. ET on May 10, 2024)
CY 2025 Final Rule text: Interested parties submitting measures for consideration through the
MIPS Annual Call for Quality Measures must complete the required information by the CMS
Annual Call for Measures deadline (8 p.m. ET on May 1, 2025).
*****
According to the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.), no persons are required to
respond to a collection of information unless it displays a valid OMB control number. The valid OMB
control number for this information collection is 0938-1314 (Expiration date: 2/28/2027). This information
collection is the tool for measure developers to submit their clinical quality measures for consideration by
CMS. The time required to complete this information collection is estimated to average 2 hours per
response, including the time to review instructions, search existing data resources, gather the data
needed, to review and complete the information collection. This information collection is voluntary and all
information collected will be kept private in accordance with regulations at 45 CFR 155.260, Privacy and
Security of Personally Identifiable Information. Pursuant to this regulation, CMS may only use or disclose
personally identifiable information to the extent that such information is necessary to carry out their
statutory and regulatory mandated functions. If you have comments concerning the accuracy of the time
estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn:
PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, MD 21244-1850. If you have questions
or concerns regarding where to submit your documents, please contact QPP at qpp@cms.hhs.gov.
Under the Privacy Act of 1974 (5 U.S.C. 552a) any personally identifying information obtained will be kept
private to the extent of the law.