Deadline to MIPS Extreme and Uncontrollable Circumstances Application Extended

Last Updated: Dec 2, 2020

The Centers for Medicare & Medicaid Services (CMS) is extending the Merit-based Incentive Payment System (MIPS) Extreme and Uncontrollable Circumstances Exception application deadline to Feb. 1, 2021.

Due to the COVID-19 public health emergency, CMS will be using the Extreme and Uncontrollable Circumstances policy to allow MIPS eligible clinicians, groups, and virtual groups to submit an application requesting CMS to reweight one or more MIPS performance categories to 0 percent for the 2020 performance year.

If you have concerns about the effect of the COVID-19 public health emergency on your performance data, submit an application now, citing COVID-19 as the reason for your application. An HCQIS Access Roles and Profile (HARP) account is required for the Extreme and Uncontrollable Circumstances Application. Once you sign into Quality Payment Program website at with your credentials, click ‘Exceptions Application’ on the left-hand navigation and then select ‘Extreme and Uncontrollable Circumstances.’

You will be notified by email if your application was approved or denied. If you have an approved application, you can still receive scores for the Quality, Improvement Activities, and Promoting Interoperability performance categories if you submit data. If the Cost performance category is included in your approved application, you will not be scored on cost measures even if other data are submitted.

Note: The deadline for the MIPS Promoting Interoperability Hardship Exception application will remain Dec. 31, 2020.

Additional Resources

View this step by step video and guide that walk you through how to submit the application.

Visit the Extreme and Uncontrollable Circumstances Exception QPP webpage for more information and link to the application.

Check out the Exceptions Application Fact Sheet to learn more about these exceptions.

PAMED members with questions on the MIPS Extreme and Uncontrollable Circumstances Exception Application can contact our Knowledge Center at 800-228-7823 or

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