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

View Information Collection (IC)

CY 2026 Performance Period/2028 MIPS Payment Year
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Appendix A 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 E Yes Yes Fillable Fileable
Form and Instruction Appendix F Yes Yes Fillable Fileable
Form and Instruction Appendix G Yes Yes Fillable Fileable
Form and Instruction Appendix H Yes Yes Fillable Fileable
Form and Instruction Appendix I 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

 

141,690 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 141,690 0 5,706 0 0 135,984
Annual IC Time Burden (Hours) 591,156 0 -58,215 0 0 649,371
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CROSSWALK Appendix A: 2026 MIPS QCDR and Registry Self-nomination User Guide 09/05/2025
CROSSWALK Appendix B: 2026 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form) 09/05/2025
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 09/05/2025
CROSSWALK Appendix D: 2026 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option 09/05/2025
CROSSWALK Appendix E: Measures under Consideration 2025 Data Template for Candidate Measures 09/05/2025
CROSSWALK Appendix F: 2025 Peer Reviewed Journal Article Requirement Template 09/05/2025
CROSSWALK Appendix G: Improvement Activities Performance Category, 2026 Call for Activities Submission Form 09/05/2025
CROSSWALK Appendix H: 2025 MIPS Promoting Interoperability Hardship Exception Application Guide 09/05/2025
CROSSWALK Appendix I: 2025 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide 09/05/2025
CROSSWALK Appendix J: 2025 MVP Candidates: Instructions and Template 09/05/2025
CROSSWALK Appendix K: 2025 Partial QP Election Form (for submission in CY 2026) 09/05/2025
CROSSWALK: 2025 MVP Registration Guide 09/05/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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