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Re-check MIPS Eligibility

Re-check MIPS Eligibility after Final Determination Period

Your eligibility was reviewed twice during the 2019 Performance Year. Reviews analyzed CMS Medicare Part B Claims data and PECOS data from two 12-month time periods:

  • October 1, 2017 – September 30, 2018
  • October 1, 2018 – September 30, 2019

IMPORTANT: Clinicians and practices must exceed the low-volume threshold during BOTH review periods to be eligible for MIPS.

CMS will use data from these dates to:

  • Determine eligibility (including whether you exceed the low-volume threshold)
  • Assign special statuses:
    • Non-patient facing;
    • Small practice;
    • Hospital-based; and
    • Ambulatory surgical center (ASC)-based

It’s important to re-check your eligibility now that the determination periods are complete to make sure you are still MIPS eligible!

To check MIPS eligibility, sign into the QPP website at