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New Event Added to Automatic Extreme and Uncontrollable Circumstances for MIPS

Important Information Regarding MIPS Eligible Clinicians Affected by Tropical Storm/Hurricane Barry

In response to FEMA’s designation of Tropical Storm/Hurricane Barry, CMS has determined that the automatic extreme and uncontrollable circumstance policy will apply to MIPS eligible clinicians in FEMA-identified Louisiana parishes.

MIPS eligible clinicians in these areas will be automatically identified and receive a neutral payment adjustment for the 2021 MIPS payment year. During the data submission period for the 2019 performance period (January 2, 2020 to March 31, 2020), all four performance categories for these clinicians will be weighted at zero percent, resulting in a score equal to the performance threshold.

If automatically identified MIPS eligible clinicians choose to submit data on two or more MIPS performance categories (Quality, Improvement Activities, and/or Promoting Interoperability) as an individual or they are part of a group or virtual group that submits data on behalf of its clinicians, they will be scored on those performance categoriesand their 2021 payment adjustment will be based on their 2019 MIPS final score.

The automatic extreme and uncontrollable circumstance policy will not apply to MIPS eligible clinicians in MIPS Alternative Payment Models (MIPS APMs) in 2019.

For more information:

Please reference the Extreme and Uncontrollable Circumstances Overview section on the MIPS > About Exception Applications page. We are also working on additional materials specific to the automatic extreme and uncontrollable circumstances policy.

You can also contact the Quality Payment Program Service Center at (866) 288-8292/TTY (877) 715-6222, Monday through Friday, 8:00 a.m. ‒ 8:00 p.m. Eastern Time or by email at

1801 Research Boulevard Suite 400
Rockville, MD 20850
Tel: 301.984.9496 | Fax: 301.770.1949
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