Merit-based Incentive Payment System (MIPS) Automatic Extreme and Uncontrollable Circumstances (EUC) Policy Applied to MIPS Eligible Clinicians in Florida

• August 28, 2024
• Clinical Practice Updates, News

In response to Hurricane Debby, as identified by both the Health and Human Services (HHS)
Public Health Emergency (PHE) declaration (Florida) and Federal Emergency Management
Agency (FEMA) disaster declaration (DR-4806-FL), the Centers for Medicare & Medicaid
Services (CMS) has determined that the MIPS automatic EUC policy will apply to MIPS
eligible clinicians in designated affected counties of Florida.

MIPS eligible clinicians in these areas will be automatically identified and have all 4
performance categories reweighted to 0% during the data submission period for the 2024
performance period (January 2 to March 31, 2025). This will result in a score equal to the
performance threshold, and they’ll receive a neutral payment adjustment for the 2026 MIPS
payment year.

However, if MIPS eligible clinicians in these areas submit data on 2 or more performance
categories, they’ll be scored on those performance categories and receive a 2026 MIPS
payment adjustment based on their 2024 MIPS final score. NOTE: The MIPS automatic EUC
policy doesn’t apply to MIPS eligible clinicians participating in MIPS as a group, subgroup,
virtual group, or Alternative Payment Model (APM) Entity. However, groups, virtual groups,
and APM Entities can request reweighting through the EUC Exception application. Subgroups
will inherit any reweighting approved for their affiliated group; they can’t request reweighting
independent of their affiliated group’s status. For More Information, please reference the MIPS
EUC Exception section on the Quality Payment Program Exception Applications webpage and review the 2024 MIPS Automatic EUC Policy Fact Sheet HERE>>