2023 Quality Payment Program Special Statuses

CMS as defined and automatically assigns special statuses to MIPS-eligible clinicians, practices, virtual groups, and APM entities who meet certain criteria. These special statuses are as follows:

  • Ambulatory Surgery Center (ASC)-based;
  • Hospital-based;
  • Facility-based;
  • Non-patient Facing;
  • Small Practice;
  • Health Professional Shortage Area; and
  • Rural

These statuses may impact your MIPS reporting requirements, such as applying 2x the points for each improvement activity submitted during traditional MIPS reporting, automatic reweighting of the Promoting Interoperability performance category to 0%, and more.

To determine if your clinicians and practice have been assigned one or more of these special statuses and how they impact your MIPS reporting for 2023:

  1. Check Your QPP Program Eligibility
  2. Review the 2023 Special Statuses article from CMS to determine how this impacts your MIPS 2023 reporting.