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2020 MIPS Performance Year Deadlines & More

Reminder: 2020 MIPS performance year data submission window closes March 31, 2021. For more information please visit the QPP website.

Reminder: 2020 MIPS Extreme and Uncontrollable Circumstances Exception Application Deadline was extended to February 1, 2021. If you have any concerns about the effect of the COVID-19 pandemic on your performance data, including cost measures, for the 2020 performance period, submit an application now and be sure to cite COVID-19 as the reason for your application. 

2020 MIPS Participation Criteria

Clinicians and groups are ELIGIBLE for 2020 MIPS if they exceed ALL 3 criteria below, otherwise they are excluded from 2020 MIPS:

  1. Billed $90,000 or less in Medicare Part B allowed charges for covered professional services during either of the 2 determination periods (October 1, 2018 – September 30, 2019 or October 1, 2019 – September 30, 2020); OR
  2. Provided care to 200 or fewer Part B-enrolled patients during either of the 2 determination periods; OR
  3. Provided 200 or fewer covered professional services professional services to Part B patients during either of the 2 determination periods.

Check the Quality Payment Program (QPP) Participation Status Tool to view your final 2020 eligibility status for MIPS. 

Participating Through the Opt-In or Voluntary Reporting Options

Clinicians and groups who are not eligible for 2020 MIPS (meaning they did not exceed ALL 3 low-volume threshold criteria about) can still choose to report data to MIPS.

Opt-In Eligible

If your 2020 eligibility status says “opt-in eligible” this means you have exceeded 1 or 2 of the low-volume threshold criteria noted above and have at least 1 clinician who:

  • Is identified as a MIPS eligible clinician type on Medicare Part B claims;
  • Enrolled in Medicare before 2020;
  • Is not a QP; and
  • Is not a participant in one or more MIPS APM entities, all of which are below the low-volume threshold.

Here’s what you can do:

  • Opt-in to MIPS: You will receive a MIPS payment adjustment (positive, negative or neutral).
  • Voluntarily Report: You will not receive a MIPS payment adjustment.
    • Note: Once made, your election is binding and irreversible. (No election is required if you don’t want to report data to MIPS.)

NOT Opt-in Eligible

If you are NOT opt-in eligible, you are excluded from MIPS because you fall below all 3 of the low-volume threshold criteria. You may choose to voluntarily report (no election required) data to MIPS and will not receive a MIPS payment adjustment.

Elect to Opt-in

Opt-in eligible clinicians and groups need to complete an election to opt-in or voluntarily report in MIPS by signing in to before reporting any data. 

For More Information


Contact the Quality Payment Program at [email protected] or 1-866-288-8292. To receive assistance more quickly, consider calling during non-peak hours—before 10 a.m. and after 2 p.m. ET.

Customers who are hearing impaired can dial 711 to be connected to a TRS Communications Assistant.