CMS recently announced that the MIPS automatic Extreme and Uncontrollable Circumstances (EUC) policy will apply to MIPS eligible clinicians in designated counties affected by the recent California wildfires for both the 2024 and 2025 performance periods. MIPS eligible clinicians in these areas will be automatically identified and have all four MIPS performance categories reweighted to 0% for both performance periods, which will translate into a neutral payment adjustment for the 2026 and 2027 payment years. Note that the MIPS automatic EUC policy only applies at the individual clinician level. It does not apply to MIPS eligible clinicians participating in MIPS at the group, subgroup, virtual group, or Alternative Payment Model (APM) Entity level. However, these entities can request reweighting by submitting an EUC Exception application. Additional information is available through the 2024 MIPS Automatic EUC Policy Fact Sheet and 2025 MIPS Automatic EUC Policy Fact Sheet.
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