November 2, 2026
The Centers for Medicare & Medicaid Services (CMS) has released Merit-based Incentive Payment System (MIPS) payment adjustment information for the 2025 performance period/2027 MIPS payment year.
Your 2025 MIPS final score determines the MIPS payment adjustment you’ll receive in 2027:
- A final score above 75 points will result in a positive (+) payment adjustment
- A final score equal to 75 points will result in a neutral (0%) payment adjustment
- A final score below 75 points will result in a negative (-) payment adjustment
A positive, negative, or neutral payment adjustment will be applied to the Medicare paid amount for covered professional services furnished in 2027.
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 through 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 contact the ACO Information Center at SharedSavingsProgram@cms.hhs.gov or 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:
- 2027 MIPS Payment Year Payment Adjustment User Guide – Reviews information about the calculation and application of MIPS payment adjustments, and answers frequently asked questions.
- 2025 MIPS Performance Feedback FAQs – Reviews the information available in performance feedback and how to access it.
- 2025 Quality and Cost Benchmarks – Links to quality and cost measure benchmarks and supporting documentation. (Benchmarks determine measure scores.)
- 2025 MIPS Performance Feedback Supplemental Reports Guide – Reviews the downloadable supplemental and patient-level reports for administrative claims quality and cost measures.
2025 Targeted Review Request Period Open Until November 30, 2026
Who Can Request a Targeted Review?
Individual clinicians, groups, subgroups, virtual groups, APM Entities (including Shared Savings Program ACOs), designated support staff, and authorized third-party intermediaries may request that CMS review their MIPS final score and MIPS payment adjustment factor through a process called targeted review.
When to Request a Targeted Review
Review your MIPS performance feedback, including your MIPS final score and payment adjustment factor(s), on the QPP website. If you believe there’s an error in the calculation of your MIPS final score or MIPS payment adjustment factor, you can request a targeted review now until November 30, 2026, at 8:00 PM ET.
Examples of circumstances that could prompt a Targeted Review:
- Data were submitted under the wrong TIN or National Provider Identifier (NPI).
- You have Qualifying APM Participant (QP) status and shouldn’t receive a MIPS payment adjustment.
- Performance categories weren’t automatically reweighted even though you qualify for reweighting due to extreme and uncontrollable circumstances. (Learn more in the 2025 MIPS Automatic Extreme and Uncontrollable Circumstances Fact Sheet.)
Note: This isn’t a comprehensive list of circumstances. If you have questions about whether your circumstances warrant a targeted review, please contact the QPP Service Center by phone at 1-866-288-8292 (TRS: 711) or by email at QPP@cms.hhs.gov.
- 2025 Targeted Review User Guide – Reviews the process for requesting a targeted review and examples for when you would or wouldn’t request a targeted review.
Additional QPP Deadlines Approaching
- November 30: Deadline to register to report a MIPS Value Pathway for the 2026 performance year.
- December 31: Deadline for 2026 MIPS Promoting Interoperability Hardship Exception and Extreme and Uncontrollable Circumstances applications.
- December 31: Deadline to elect participation as a virtual group for the 2027 performance year.