Your Participation Status
The MIPS program applies to all providers and groups that bill Medicare Part B with certain exceptions. Read below to determine if you're included or exempt from MIPS this reporting period.
General Information on Exceptions:
- Is a first-time enrollee as a Medicare Part B physician
- Billed Medicare for less than $30,000
- Has provided care for fewer than 100 or Medicare patients
If applicable, you may also file for a hardship exemption: Quality Payment Program: Hardship Exemption
Note: This information isn't meant to be a definitive -- we'd recommend following the steps below to verify your MIPS participation status using the QPP website.
Checking Your Status
STEP 1: Check your participation status in the MIPS program on the QPP website: CMS Quality Payment Program. Type in your NPI to see your participation status.
STEP 2: Look for your clinician reporting eligibility status.
Participating Providers: For providers that are mandatory participants in MIPS, your eligibility page will show the following dialogue.
Exempt Providers: For providers that are exempt from MIPS, your eligibility page will show the following dialogue.