October 20, 2025
The Centers for Medicare & Medicare Services (CMS) has released Merit-based Incentive Payment System (MIPS) payment adjustment information for the 2024 performance period/2026 MIPS payment year.
Your 2024 MIPS final score determines the MIPS payment adjustment you’ll receive in 2026.
A positive, negative, or neutral payment adjustment will be applied to the Medicare paid amount for covered professional services furnished in 2026.
Access Your MIPS Payment Adjustment
Sign in to the Quality Payment Program (QPP) website using the same credentials that allowed you to submit your 2024 MIPS data and check your 2024 MIPS final score. Refer to the QPP Access User Guide for more information.
Click “View Feedback” on the home page and select your organization (Practice, Alternative Payment Model (APM) Entity, Virtual Group).
Practice representatives can access individual, subgroup, and group performance feedback (final scores and payment adjustments).
APM Entity representatives can access APM Entity-level performance feedback (final scores and payment adjustments).
Virtual Group representatives can access Virtual Group-level performance feedback (final scores and payment adjustments).
Third-party representatives can’t access final feedback or payment adjustment information.
If you don’t have a HARP account or QPP role, please refer to the Register for a HARP Account (re: HARP account) and Connect to an Organization (re: QPP role) documents in the QPP Access User Guide and start the process now.
Medicare Shared Savings Program Accountable Care Organizations (ACOs)
Medicare Shared Savings Program ACOs are encouraged to identify at least one individual within your ACO who can obtain a HARP account with the Security Official role; additional individuals may request the Staff User role. ACO individuals can create and manage their HARP account and QPP access in the ACO Management System (ACO-MS).
Contact your ACO to find out how you can obtain a HARP account via ACO-MS. If you have any questions, please email the ACO Information Center or call 1-888-734-6433 (Option 1).
REMINDER: Representatives of Shared Savings Program ACO Participant Taxpayer Identification Numbers (TINs) and practices with clinicians receiving their APM Entity’s final score won’t be able to access the APM Entity’s performance feedback unless they’ve been granted the Staff User QPP role for the APM Entity.
Payment Adjustment and Performance Feedback Resources
2026 MIPS Payment Year Payment Adjustment User Guide: Reviews information about the calculation and application of MIPS payment adjustments, and answers frequently asked questions.
2024 MIPS Performance Feedback FAQs: Reviews the information available in performance feedback and how to access it. (CMS is in the process of updating this resource with the Targeted Review deadline.)
2024 MIPS Performance Feedback Supplemental Reports Guide: Reviews the downloadable supplemental and patient-level reports for administrative claims quality and cost measures.
2024 Quality and Cost Benchmarks: Links to quality and cost measure benchmarks and supporting documentation. (Benchmarks determine measure scores.)