CMS has announced that an automatic MIPS exception will be applied to MIPS eligible clinicians in designated counties of California in response to recent wildfires. These automatic exceptions will apply to both the 2024 and 2025 performance periods. MIPS eligible clinicians in these areas will automatically receive a neutral payment adjustment for the 2026 and 2027 MIPS payment years unless they submit data on two or more performance categories for either/both performance years.
View the list of affected counties at www.fema.gov/disaster/4856/designated-areas.
Please note that MIPS eligible clinicians participating as a group, subgroup, virtual group, or Alternative Payment Model (APM) Entity are not eligible for this automatic exception; however, groups, virtual groups, and APM Entities can request reweighting through the EUC Exception application.