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CMS Announces Automatic Extreme and Uncontrollable Circumstances Exceptions for MIPS-Eligible Clinicians Impacted by Hurricanes

The CMS has announced that MIPS-eligible clinicians in areas affected by Hurricanes Beryl, Debby, Francine, and Helene will automatically have all four MIPS performance categories reweighted to 0% and receive a score equal to the performance threshold, resulting in a neutral payment adjustment for the 2026 payment year.

The Extreme and Uncontrollable Circumstances exceptions can be overridden if a clinician submits data on two or more MIPS performance categories (e.g., quality and improvement activities). The QPP Participation Look Up tool will be updated in December with all qualifying events that trigger the EUC. Those impacted by hurricanes are encouraged to see the CMS MIPS Extreme and Uncontrollable Circumstances website for more information.

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