CY 2026 Performance Period/2028 MIPS Payment Year

Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS) (CMS-10621)

OMB: 0938-1314

IC ID: 271014

Documents and Forms

Document Name Document Type
Form Appendix A CY 2026 Performance Period/2028 MIPS Payment Year Form and Instruction
Appendix A 2026 MIPS QCDR and Registry Self-nomination User Guide Appendix A 2026 MIPS QCDR Registry Self-Nomination User Guide.pdf Form and Instruction
Appendix B 2026 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form) Appendix B 2026 Payer Initiated Submission Form.pdf Form and Instruction
Appendix C 2026 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form) Appendix C 2026 Eligible Clinician Initiated Submission Form.pdf Form and Instruction
Appendix D 2026 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option Appendix D 2026 Requests for QP Determinations under the All-Payer Comb.pdf Form and Instruction
Appendix E Measures under Consideration 2025 Data Template for Candidate Measures Appendix E MUC 2025 Data Template for Candidate Measures.pdf Form and Instruction
Appendix F 2025 Peer Reviewed Journal Article Requirement Template Appendix F 2025 MIPS Peer Reviewed Journal Article Requirement Template.pdf Form and Instruction
Appendix G Improvement Activities Performance Category, 2026 Call for Activities Submission Form Appendix G IA Performance Category 2026 Call for Activities Submission Form.pdf Form and Instruction
Appendix H 2025 MIPS Promoting Interoperability Hardship Exception Application Guide Appendix H 2025 MIPS PI Hardship Exception Application Guide.pdf Form and Instruction
Appendix I 2025 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide Appendix I 2025 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide.pdf Form and Instruction
Appendix J 2025 MVP Candidates: Instructions and Template Appendix J 2025 MVP Candidates Instructions and Template.pdf Form and Instruction
Appendix K 2025 Partial QP Election Form (for submission in CY 2026) Appendix K 2025 Partial QP Election Form (for submission in CY 2026).pdf Form and Instruction
Appendix L 2025 MVP Registration Form Appendix L 2025 MVP Registration Guide.pdf Form and Instruction
Appendix A 2026 MIPS QCDR and Registry Self-nomination User Guide Crosswalk.pdf CROSSWALK Appendix A: 2026 MIPS QCDR and Registry Self-nomination User Guide IC Document
Appendix B 2026 Submission Form for Other Payer Requests Crosswalk.pdf CROSSWALK Appendix B: 2026 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form) IC Document
Appendix C 2026 Submission Form for Eligible Clinician Requests Crosswalk.pdf CROSSWALK Appendix C : 2026 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submissio IC Document
Appendix D 2026 Submission Form for Requests for QP Determination Crosswalk.pdf CROSSWALK Appendix D: 2026 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option IC Document
Appendix E MUC 2025 Data Template for Candidate Measures Crosswalk.pdf CROSSWALK Appendix E: Measures under Consideration 2025 Data Template for Candidate Measures IC Document
Appendix F 2025 Peer Reviewed Journal Article Requirement Crosswalk.pdf CROSSWALK Appendix F: 2025 Peer Reviewed Journal Article Requirement Template IC Document
Appendix G Improvement Activities Performance Category 2026 Call for Activities Submission Form Crosswalk.pdf CROSSWALK Appendix G: Improvement Activities Performance Category, 2026 Call for Activities Submission Form IC Document
Appendix H 2025 MIPS Promoting Interoperability Hardship Exception Crosswalk.pdf CROSSWALK Appendix H: 2025 MIPS Promoting Interoperability Hardship Exception Application Guide IC Document
Appendix I 2025 EandU Circumstances Exception App Guide Crosswalk.pdf CROSSWALK Appendix I: 2025 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide IC Document
Appendix J 2025 MVP Candidates Instructions and Template Crosswalk.pdf CROSSWALK Appendix J: 2025 MVP Candidates: Instructions and Template IC Document
Appendix K 2025 2025 Partial QP Election Form Crosswalk.pdf CROSSWALK Appendix K: 2025 Partial QP Election Form (for submission in CY 2026) IC Document
Appendix L 2025 MVP Registration Form Crosswalk.pdf CROSSWALK: 2025 MVP Registration Guide IC Document