Registration is now open for the 2026 performance year of MIPS Value Pathways (MVPs) through the Centers for Medicare & Medicaid Services Quality Payment Program (QPP), allowing eligible clinicians and organizations to prepare for participation.
Registration Overview
The registration window is open through November 30, 2026 (8 p.m. ET) and applies to individuals, groups, subgroups, and Alternative Payment Model (APM) Entities. To complete registration, users must access the QPP system using a HARP account and have the appropriate Security Official role.
Participants will register directly through the QPP website by selecting or editing their MVP registration and confirming their reporting option.
What to Prepare Before Registering
Before beginning the process, organizations should have several key decisions finalized. This includes selecting the MVP they intend to report and determining whether optional measures—such as CAHPS for MIPS or outcomes-based administrative claims measures—will be included, if available within that MVP.
Participants must also confirm how they plan to report (individual, group, subgroup, or APM Entity).
For 2026, there is an important update for group reporting: practices are now required to self-attest to their specialty composition during registration. This means identifying whether the organization qualifies as a single specialty group or a multispecialty small practice, rather than relying on CMS to make that determination.
Resource: QPP website