42 C.F.R. § 414.1330

Current through September 30, 2024
Section 414.1330 - Quality performance category
(a) For a MIPS payment year, CMS uses the following quality measures, as applicable, to assess performance in the quality performance category:
(1) Measures included in the MIPS final list of quality measures established by CMS through rulemaking;
(2) QCDR measures approved by CMS under § 414.1400 ;
(3) Facility-based measures described in § 414.1380 ; and
(4) MIPS APM measures described in § 414.1370 .
(b) Unless a different scoring weight is assigned by CMS, performance in the quality performance category comprises:
(1) 60 percent of a MIPS eligible clinician's final score for MIPS payment year 2019.
(2) 50 percent of a MIPS eligible clinician's final score for MIPS payment year 2020.
(3) 45 percent of a MIPS eligible clinician's final score for MIPS payment years 2021 and 2022.
(4) 40 percent of a MIPS eligible clinician's final score for the MIPS payment year 2023.
(5) 30 percent of a MIPS eligible clinician's final score for the MIPS payment year 2024 and future years.

42 C.F.R. §414.1330

83 FR 60078, Nov. 23, 2018, as amended at 84 FR 63195, Nov. 15, 2019; 85 FR 85031, Dec. 28, 2020
81 FR 77537, 1/1/2017; 83 FR 60078, 1/1/2019; 84 FR 63195, 1/1/2020; 85 FR 85031, 1/1/2021