The following tables provide information on exemptions and “special status” determinations under the Merit-Based Incentive Payment System (MIPS).
- Table 1: MIPS Exemptions. Individual clinicians and groups that meet criteria for the listed exemptions are not considered MIPS eligible clinicians and are exempt from MIPS reporting and participation requirements, as well as from MIPS payment adjustments.
- Table 2: MIPS Special Status Determinations. Individuals and groups who meet the criteria for a “special status” determination are still subject to MIPS reporting and participation requirements, in addition to MIPS payment adjustments; however, they receive special reporting and/or scoring accommodations under MIPS.
This guide does not provide details regarding treatment under the Advanced Alternative Payment Model track of the Quality Payment Program.
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