CMS invites all Merit-based Incentive Payment System (MIPS) reporting practices to share their experiences with MVP reporting.
Whether you have reported an MVP for Payment Year (PY) 2025, are preparing to report for PY 2026, or have not yet begun adopting an MVP, your feedback is valuable. We welcome input from practices regardless of previous participation methods.
Who Should Participate?
Practices that reported an MVP for PY 2025
Practices working toward reporting an MVP for PY 2026
Practices that have not started MVP adoption
Your insight will help us enhance the MVP reporting process, identify strengths and challenges, and guide future improvements.
Survey Details
The survey takes approximately 15 minutes to complete.
Participation is voluntary and confidential.
Responses will be reported in aggregate to protect the identity of individuals, groups, and entities Eligible clinicians may receive Improvement Activity (IA) credit for completing the survey.
After conducting empirical analyses of the MIPS cost measures specified for the CY 2025 performance period, 2027 MIPS payment year, theCenters for Medicare & Medicaid Services (CMS) identified that the following measures warrant exclusion from our calculation of MIPS eligible clinicians’ scores under the cost performance category in accordance with our measure exclusion policy at 42 C.F.R. § 414.1380(b)(2)(v)(B):
Acute Kidney InjuryRequiring New Inpatient Dialysis (AKI)(Measure ID: COST_AKID_1)
Therefore, the AKI measure and Emergency Medicine measurewon’t be included in the calculation of MIPS eligible clinicians’ scores under the cost performance category for the CY 2025 performance period, 2027 MIPS payment year.
Analysis showed that the measures’ risk adjustment modelsdidn’tconsistently estimate costs for the CY 2025 performance period, 2027 MIPS payment year. Specifically, theAKImeasure didn’t adequately estimate costs for episodes where beneficiaries were identified as low-risk and the Emergency Medicine measure underpredicted costs for a subset ofepisodes in specific subgroup and emergency-visit-type combinations. Thesefindingsdemonstrate that the measures could produce misleading andinaccurate measure scores for MIPS eligible clinicians with a larger share of impactedepisodes.
The MVP registration window is open for the 2026 performance year. Individuals, groups, subgroups, and APM Entities that wish to report an MVP can register or update an existing registration until November 30, 2026, at 8 p.m. ET.
Did you know?
Clinicians and groups registered for an MVP may report traditional MIPS instead of, or in addition to, the MVP you registered for.
If you report traditional MIPS instead of the MVP you registered for, your traditional MIPS submission will determine your final score.
If you report traditional MIPS in addition to the MVP you registered for, we’ll score both data sets and use whichever results in a higher score for your final score, either your traditional MIPS reporting or your MVP reporting.
To register, you’ll sign in to the QPP website with your HCQIS Access and Roles Profile (HARP) account.
You must have a HARP account and a QPP Security Official role to complete the MVP Registration.
For more information on HARP accounts, please refer to the Register for a HARP Account document in the QPP Access User Guide (ZIP, 5MB).
For more information on obtaining the QPP Security Official role, review the Connect to an Organization document in the QPP Access User Guide (ZIP, 5MB).
Prepare for MVP Registration
Before you register, you’ll need to have the following items ready:
The MVP you plan to report.
Whether you want to be evaluated on an outcomes-based administrative claims quality measure, if it’s a quality measure option in your selected MVP.
The participation option you plan to use. Participation options include individual, group, subgroup, or APM Entity.
Additional Information for Group Registration
Starting in 2026, to register for MVP reporting as a group, your practice will need to attest to their specialty composition (whether you’re a single specialty group or multispecialty small practice) during the MVP registration process. We won't make this determination for you. All other groups will need to participate as subgroups or as individuals (if eligible) to report an MVP.
A single specialty group means a group that consists of clinicians in one specialty type, or clinicians in more than one specialty type with a single clinical focus of care. For example, a group consisting of internists, cardiologists, nurse practitioners, and physician assistants that are focused on providing cardiovascular care could attest to being a single specialty group and register to report an MVP as a group.
Individuals, groups, subgroups and APM Entities will register through 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. To register:
Click Register or edit an MVP registration from the landing page
Click your MVP reporting option
Note: If the CAHPS for MIPS Survey is an available measure in your chosen MVP and you wish to administer it as one of your four required measures, you should have completed your MVP registration and a separate CAHPS for MIPS Survey registration by June 30, 2026, at 8 p.m. ET. Visit the QPP website to learn more about CAHPS for MIPS registration.
