ICR Documents

Supporting Statement A Document Date Uploaded CMS-10621 - Supporting Statement A (CMS-1751-F version 12).docx 12/06/2021 Supporting Statement B Document Date Uploaded CMS-10621 - Supporting Statement B (CMS-1751-F)_10-28 Clean.docx 12/06/2021 Supplementary Documents Title Document Document Type Date Uploaded Response to Public Comments Comment Responses MIPS PRA _10_28 Clean.docx Supplementary Document 12/03/2021 Appendix A2 (See Table 3): 2022 Qualified Registry Fact Sheet Crosswalk Appendix A2 2022 MIPS Qualified Registry Self-Nomination Fact Sheet Crosswalk.pdf Supplementary Document 12/06/2021 Appendix B2 (See Table 4): 2022 Qualified Clinical Data Registry (QCDR) Fact Sheet Crosswalk Appendix B2 2022 Appendix B2 MIPS QCDR Self-Nomination Fact Sheet Crosswalk.pdf Supplementary Document 12/06/2021 Appendix D2 (See Table 27): 2022 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form) Crosswalk Appendix D2 2022 Payer Initiated Submission Form Crosswalk.pdf Supplementary Document 12/06/2021 Appendix E2 (See Table 28): 2022 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician...) Crosswalk Appendix E2 2022 Clinician Initiated Submission Form Crosswalk.pdf Supplementary Document 12/06/2021 Appendix F2 (See Table 29): 2022 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option Crosswalk Appendix F2 2022 All-Payer QP Data Submission Form Crosswalk.pdf Supplementary Document 12/06/2021 Appendix G2 (See Table 15): Measures under Consideration 2021 (for the 2023 performance period), Data Template for Candidate Measures Crosswalk Appendix G2 2021 MUC Data Template Crosswalk.pdf Supplementary Document 12/06/2021 Appendix H2 (See Table 15): 2022 Peer Reviewed Journal Article Requirement Template Crosswalk Appendix H2 2022 Peer Reviewed Journal Article Template Crosswalk.pdf Supplementary Document 12/06/2021 Appendix I2 (See Table 20): Promoting Interoperability Performance Category, 2022 Call for Measures Submission Form Crosswalk Appendix I2 2022 PI Call for Measures Submission Form Crosswalk.pdf Supplementary Document 12/06/2021 Appendix J2 (See Table 24): Improvement Activities Performance Category, 2022 Call for Activities Submission Form Crosswalk Appendix J2 2022 IA Call for Activities Crosswalk_PIMMS updated.pdf Supplementary Document 12/06/2021 Appendix M2 (See Table 25): 2022 MVP Candidates: Instructions and Template Crosswalk Appendix M2 2022 MVP Development Standardized Template Crosswalk.pdf Supplementary Document 12/06/2021 Appendix C2 (Table 4): 2022 Qualified Clinical Data Registry (QCDR) Measure Submission Template Crosswalk Appendix C2 2022 Qualified Clinical QCDR Measure Submission Template vs Webform Crosswalk.pdf Supplementary Document 12/06/2021 Appendix N2 (See Table 13): 2021 CMS Web Interface and CAHPS for MIPS Registration Guide (for the 2023 MIPS payment year) Crosswalk Appendix N2 2022 CMS Web Interface and CAHPS for MIPS Registration Guide Crosswalk.pdf Supplementary Document 12/06/2021 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received