The CY 2027 PFS Proposed Rule includes proposals for the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs), as well as several Requests for Information (RFIs).
Specifically, we’re proposing policies that:
Move towards the full implementation of MIPS Value Pathways (MVPs).
Focus on prevention and wellness in patient care.
Reduce administrative burden.
Promote more meaningful participation that drives quality and value.
2027 Policy Proposal Highlights
Key QPP policies that we are proposing in the CY 2027 Medicare PFS Proposed Rule include:
Sunsetting the traditional MIPS reporting option after the 2028 performance year.
Introducing 3 new MVPs for the 2027 performance year that are related to diabetic disease, hypertension, and hospitalists, and modifying all 27 previously finalized MVPs.
Replacing the outcome/high priority measure requirement for the quality category with a new MIPS core measure requirement.
Revising the MIPS Promoting Interoperability performance category reporting requirements in the CY 2026, 2027, and 2028 reporting periods.
Modifying the APM Performance Pathway Plus (APP Plus) quality measurement set and introducing a new collection type: Medicare Electronic Clinical Quality Measures for Accountable Care Organizations Participating in the Medicare Shared Savings Program (Medicare eCQMs).
Applying Qualifying APM Participant (QP) and Partial QP determinations at the Taxpayer Identification Number/National Provider Identifier (TIN/NPI) level instead of the NPI level.
Overview of RFIs
We are also seeking feedback on RFIs about the following topics:
The future transition to FHIR-based digital quality reporting for QPP including the overall transition timeline, key milestones, and implementation considerations.
Whether we should consider MVP score normalization within an MVP to ensure scoring fairness across MVPs.
Improvements and alternative options to the current star rating assignment methodology for quality measure scores collected under the administrative claims collection type.
How Do I Comment on the CY 2027 Proposed Rule?
The proposed rule includes directions for submitting comments within the 60-day comment period. Comments must be submitted by Monday, September 14, 2026.
When commenting, refer to file code: CMS-1848-P
We don’t accept FAX transmissions.
Use 1 of the 3 following ways to officially submit your comments:
Regular mail: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1848-P, P.O. Box 8016, Baltimore, MD 21244-8016.
Express or overnight mail: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1848-P, Mail Stop C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850.
Additional Resources
Learn more about QPP proposals in the following resources:
Vendor authorization launched Monday on August 10, 2026. Instructions for completing Vendor Authorization will be emailed to the point of contact identified by your organization during MIPS registration. Please note there are some minor changes to the vendor authorization process this year, and the email will come from MIPS-CAHPS@econometricainc.com.
Note that organizations conducting the 2026 CAHPS for MIPS Survey are responsible for the costs of survey administration.
If you do not receive an email by August 11th and are registered to report CAHPS for MIPS in 2026, please contact the CAHPS for MIPS Survey Vendor Management team at MIPS-CAHPS@econometricainc.com.
Vendor authorization must be completed no later than Wednesday, September 9, 2026, at 8 p.m. ET.
Additional Resources:
CMS maintains resources in the QPP Resource Library to assist groups, subgroups, virtual groups and APM entities with Vendor Authorization:
The Centers for Medicare & Medicaid Services (CMS) will host a virtual question and answer (Q&A)session on Wednesday, August 26, 2026, from 1 – 2 p.m. ET. Participants can ask questions during this Q&A session about the Qualified Clinical Data Registry (QCDR) and Qualified RegistrySelf-Nomination and QCDR Measure Submission processes for the 2027Merit-based Incentive Payment System (MIPS) performance period.
Participants areencouraged to ask questions regarding the QCDR and Qualified Registry Self-Nomination forms available on the Quality Payment Program (QPP) website as well as the QCDR Measure Submission process for those submitting QCDR measures.
What are QCDRs and Qualified Registries?
QCDRs and Qualified Registries are CMS-approved third party intermediaries that collect clinical data on behalf of clinicians for data submission. Only intermediaries that want to become (and that meet the requirements of) a QCDR and/or Qualified Registry need to complete the Self-Nomination form.
You should attend the session if your organization plans to self-nominate as a 2027QCDR or Qualified Registry. Participation in this session is optional.MIPS eligible clinicians, groups, virtual groups, subgroups, and Alternative Payment Model (APM) Entities, including Medicare Shared Savings Program Accountable Care Organizations (ACOs),that want to report for the 2027MIPS performance year via a QCDR or Qualified Registry reporting mechanism don’t need to self-nominate.
Session Details
Title:2027Self-Nominationand QCDR Measure Submission Question and Answer Session
Date:Wednesday, August 26, 2026
Time: 1 – 2p.m. ET
Event Registration
To register for the 2027 Self-Nomination and QCDR Measure Submission Q&A Session, please email the QCDR Vendor Support Inbox at QCDRVendorSupport@gdit.com, and the PIQMMS team will provide the webinar information to participate.
The slide deck, recording, and transcript from this webinar will be posted to the Quality Payment Program (QPP) Webinar Library in the weeks following the webinar. If you have any questions prior to the event, please contact QPP@cms.hhs.gov.
The Centers for Medicare & Medicaid Services (CMS) has disbursed 2026 Advanced Alternative Payment Model (APM) Incentive Payments to eligible clinicians based on Qualifying APM Participant (QAP) Performance Period 2024.
To view your payment details, log in to the QPP website using your HARP credentials. Payment information is available at both the 10-digit NPI and organization levels.
