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