View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

CY 2025 Performance Period/2027 MIPS Payment Year
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Appendix A1 Yes Yes Fillable Fileable
Form and Instruction Appendix B Yes Yes Fillable Fileable
Form and Instruction Appendix C Yes Yes Fillable Fileable
Form and Instruction Appendix D Yes Yes Fillable Fileable
Form and Instruction Appendix E1 Yes Yes Fillable Fileable
Form and Instruction Appendix F1 Yes Yes Fillable Fileable
Form and Instruction Appendix G Yes Yes Fillable Fileable
Form and Instruction Appendix H1 Yes Yes Fillable Fileable
Form and Instruction Appendix I1 Yes Yes Fillable Fileable
Form and Instruction Appendix J Yes Yes Fillable Fileable
Form and Instruction Appendix K Yes Yes Fillable Fileable
Form and Instruction Appendix L Yes Yes Fillable Fileable

Health Health Care Services

 

136,053 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 136,053 0 136,053 0 0 0
Annual IC Time Burden (Hours) 649,776 0 649,776 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Crosswalk - Appendix A2: 2025 MIPS QCDR and Registry Self-nomination User Guide 09/17/2024
Crosswalk - Appendix E2: Measures under Consideration 2024 Data Template for Candidate Measures 09/17/2024
Crosswalk - Appendix F2: 2024 Peer Reviewed Journal Article Requirement Template 09/17/2024
Crosswalk - Appendix H2: 2024 MIPS Promoting Interoperability Hardship Exception Application Guide 09/17/2024
Crosswalk - Appendix I2: 2024 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide 09/17/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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