New ACO Beneficiary Notification Details

Continuing to use the COVID-19 public health emergency to extend relief to providers, CMS is applying the Merit-based Incentive Payment System (MIPS) automatic extreme and uncontrollable circumstances (EUC) policy to all clinicians eligible to participate in MIPS as individuals for the 2021 performance year.

What does that mean to you?

• The automatic EUC policy only applies to clinicians who are eligible to participate in MIPS as individuals. If this applies to you, you do not need to take any action to have the automatic EUC policy applied.
• If you are eligible for the EUC, you will automatically be identified and have all four MIPS performance categories reweighted to 0%. You will receive a neutral payment adjustment for the 2023 MIPS payment year unless you submit data in two or more performance categories, or have a higher final score from group or APM Entity participation.
• The automatic EUC policy doesn’t apply to groups, virtual groups or Alternative Payment Model (APM) Entities.

For more information, see the Quality Payment Program COVID-19 Response Fact Sheet or visit the Quality Payment Program COVID-19 Response page.