The Centers for Medicare & Medicaid Services (CMS) would like to remind you that the deadline of the 2026 Self-Nomination period for Qualified Clinical Data Registries (QCDRs) and Qualified Registries is September 2, 2025, at 8 p.m. ET. The Self-Nomination form on the Quality Payment Program (QPP) website will lock at the deadline, and users won’t be able to make additional edits.
Please ensure that your 2026 QCDR or Qualified Registry Self-Nomination form is complete, and then click the Submit for Review button on the QPP website before the deadline.
You can only submit the Self-Nomination form for review after all required fields are complete on each tab. Each tab has a vertical progress indicator on the left side of the form. A green checkmark shows you’ve completed the tab, and the Submit for Review button becomes enabled when all the required fields are completed. Once you’ve selected the Submit for Review button, the Intermediary landing page will list your Self-Nomination form with the nomination status, “In Self-Nomination Review.”
Once submitted, check your application periodically for any follow-up questions regarding your Self-Nomination form, QCDR measures, and/or correspondence, as there’s a high volume of notifications from the MIPS QCDR/Registry Support Team (Practice Improvement and Quality Measure Management Support (PIQMMS) Team) regarding follow-up.
If you should have a simplified Self-Nomination form, but are unable to access it, please contact the PIQMMS Team at QCDRVendorSupport@gdit.com or RegistryVendorSupport@gdit.com. Don’tcreate and submit a new Self-Nomination form for your organization.
Sharing Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) account credentials with other users isn’t permitted and is considered a security violation. Ensure that a member of your organization has a HARP account to sign in to the QPP website with the appropriate associated role at all times and that appropriate coverage is in place if the lead Self-Nomination contact person is out of the office. Each individual user must have their own HARP account to log in to the QPP website. Unauthorized or improper use of this system is prohibited and may result in disciplinary action and/or civil and criminal penalties.
As previously announced (QPP listserv sent 7/25/2025), there was a delay with receiving some of the final Medicare claims data needed to calculate cost measures, which is delaying the release of MIPS final scores for the 2024 performance year and the Targeted Review period.
We’re currently targeting mid-September for releasing 2024 MIPS final scores and opening the Targeted Review period.
MIPS payment adjustments for the 2026 MIPS payment year will be released approximately one month after the release of final scores. The Targeted Review period will close 30 days after the release of MIPS payment adjustments. From now until mid-September, you’ll continue to be able to access measure and activity-level scores for the data you reported during the submission period. However, performance period benchmarks are part of final scoring and won’t be available until final scores are released. In the meantime, we encourage you to confirm your MIPS eligibility and review the following scoring resources so that you’re prepared to understand your scores when they’re released. To confirm your eligibility for a MIPS payment adjustment, enter your National Provider Identifier (NPI) on the QPP Participation Status Look Up tool (check “PY 2024”) or sign into the QPP website and navigate to the Eligibility & Reporting page on the left hand navigation. Review pages 12 – 16 of the 2024 MIPS Eligibility and Participation Guide (PDF) for more information about what you see.
As previously announced (QPP listserv sent 8/21/2025), CMS identified that the Acute Kidney Injury Requiring New Inpatient Dialysis (AKI) measure warrants exclusion from our calculation of MIPS eligible clinicians’ scores under the cost performance category for the calendar year (CY) 2024 performance period/2026 MIPS payment year in accordance with our measure exclusion policy at 42 C.F.R. § 414.1380(b)(2)(v)(B).
Therefore, the AKI measure won’t be included in the calculation of MIPS eligible clinicians’ scores under the cost performance category for the CY 2024 performance period/2026 MIPS payment year.
Our empirical analysis of the AKI episode-based cost measure for the CY 2024 performance period/2026 MIPS payment year showed that the measure’s risk adjustment model didn’t consistently estimate costs for the CY 2024 performance period/2026 MIPS payment year. Specifically, the AKI measure didn’t adequately estimate costs for episodes where beneficiaries were identified as low-risk. This finding demonstrates that the risk-adjustment model underestimated costs for the lowest risk patients (as compared to actual costs), which may lead to misleading and inaccurate measure scores for MIPS eligible clinicians with a larger share of these episodes.
Additional information about the cost measures that will be calculated and reported under the cost performance category, as well as the AKI measure, is available here:
CMS recently published updated details about the 2025 Advanced Alternative Payment Model (APM) Incentive Payments within the 2025 Learning Resources for QP Status and APM Incentive Payments Zip File on the Quality Payment Program (QPP) Resource Library. This resource provides information about the amount of Advanced APM incentive payments that were paid to eligible clinicians this year based on their participation in Qualifying APM Participant (QP) Performance Period 2023.
Access APM Incentive Payment Details
CMS has taken time to ensure correct payment and information are available during the 2025 payment year. CMS’s process includes verifying eligible clinicians’ Advanced APM participation and the calculation of the APM Incentive Payment.
You can now log in to the QPP website using your HARP credentials to see the amount your organization was paid for both the 10-digit National Provider Identifier (NPI) and the organization.
What Do I Need to Do in Order to Receive the APM Incentive Payment?
You will not need to do anything to receive your payment, unless CMS is unable to verify your Medicare billing information.
If you have not received your payment, you should check for your name on the updated 2025 QP Notice for APM Incentive Payment, which indicates that you will need to verify your Medicare billing information. If you do not verify your Medicare billing information by September 1, 2025, then CMS will not be able to issue your APM Incentive Payment. For instructions on how to verify your Medicare billing information, review the QP Notice File.
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