42 C.F.R. § 414.1330

Current through October 31, 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