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HHS/CMS RIN: 0938-AS69 Publication ID: Spring 2016 
Title: Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs) in Medicare Fee-for-Service (CMS-5517-P)(Section 610 Review) 

This proposed rule would implement provisions of the Medicare Access and CHIP Reauthorization Act (MACRA) related to MIPS and APMs.  Section 101 of MACRA authorizes a new MIPS, which repeals the Medicare sustainable growth rate and improves Medicare payments for physician services.  MACRA consolidates the current programs of the Physician Quality Reporting System, the Value-Based Modifier, and the Electronic Health Records Incentive Program into one program, MIPS, that streamlines and improves on the three distinct incentive programs.  Additionally, MACRA authorizes incentive payments for providers who participate in eligible APMs.

Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Yes  Unfunded Mandates: No 
RFA Section 610 Review: Section 610 Review 
CFR Citation: 42 CFR 414   
Legal Authority: Pub. L. 114-10, sec 101   
Legal Deadline:
Action Source Description Date
Final  Statutory    11/01/2016 
Action Date FR Cite
NPRM  05/09/2016  81 FR 28161   
NPRM Comment Period End  06/27/2016 
Regulatory Flexibility Analysis Required: Yes  Government Levels Affected: Federal, Tribal 
Small Entities Affected: Businesses, Governmental Jurisdictions, Organizations  Federalism: No 
Included in the Regulatory Plan: Yes 
RIN Data Printed in the FR: Yes 
Agency Contact:
James Sharp
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare & Medicaid Innovation Center, MS: WB-06-05, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-7388