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Mid-Week MACRA Minute – QPP Hardship Exemption Application

Helping you put the MIPS pieces together each week!

The Quality Payment Program (QPP) 2017 Hardship Exemption Application is NOW OPEN!

What do you need to know?

MIPS eligible clinicians and groups may qualify for a reweighting of their Advancing Care Information performance category score to 0% of the final score, and can submit a hardship exception application, for one of the following specified reasons:

  • Insufficient internet connectivity
  • Extreme and uncontrollable circumstances (***see below for special instructions)
  • Lack of control over the availability of Certified EHR Technology (CEHRT)

There are 2 ways to submit an application:

  • Visit the Quality Payment Program website to submit the 2017 transition year QPP Hardship Exemption.
  • Eligible clinicians may also contact the Quality Payment Program Service Center and work with a representative to verbally submit an application. Contact the Quality Payment Service Center at 1-866-288-8292 or TTY: 1-877-715-6222 or [email protected].

To submit an application, you will need:

  • Your Taxpayer Identification Number (TIN) for group applications or National Provider Identifier (NPI) for individual applications
  • Contact information for the person working on behalf of the individual clinician or group, including first and last name, e-mail address, and telephone number
  • Selection of hardship exception category (listed above) and supplemental information

***Extreme and Uncontrollable Circumstance Category:

  • Provide a start and end date of when the circumstance occurred
  • Select one of the following options:
    • Disaster (e.g., a natural disaster in which the CEHRT was damaged or destroyed)
    • Practice or hospital closure
    • Severe financial distress (bankruptcy or debt restructuring)
    • EHR certification/vendor issues (CEHRT issues)

Once an application is submitted, CMS will send a confirmation email that your application was submitted and is pending, approved, or dismissed. Applications will be processed by CMS on a rolling basis.


Some MIPS eligible clinicians are considered Special Status and will be automatically reweighted and do not need to submit a Quality Payment Program Hardship Exception Application. These circumstances are applicable for clinicians in: Health Professional Shortage Area (HPSA), Rural, Non-patient facing, Hospital Based, and Small Practices. To find out more about how CMS calculated the Special Status visit:

For more details regarding the QPP Hardship Exemption visit the QPP website at or visit the MediSYS website at


Contact us to find out more about MediSYS at [email protected] or 205-631-5969.