Unlike the other MIPS reporting options, you must register in advance to report an MVP during the designated MVP Registration Window.
MVP Registration Window
You can only register for an MVP during the MVP Registration Window:
If you wish to report the CAHPS for MIPS Survey as a measure in your selected MVP, you’ll need to complete both your MVP and CAHPS for MIPS Survey registrations before July 1, 2024.
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What to Know Before You Register
To complete MVP registration, you’ll need to have the following items identified:
Only individuals with the security official role established through the QPP website can complete MVP registration. Refer to the QPP Access User Guide for more information.
Visit Explore MVPs to review the available MVPs finalized for the applicable performance year.
You’ll need to select and report 4 quality measures from your selected MVP. An MVP may include outcomes-based administrative claims measures. If you wish to be evaluated on an administrative claims measure as 1 of your 4 required measures, you’ll need to indicate this in your MVP registration.
Note: This outcomes-based administrative claims measure is different from the required population health measure. The population health measure is required to be selected in addition to the 4 quality measures (see next).
You must select 1 of the 2 population health measures available at the time of registration:
1.2024 Hospital-Wide All-Cause Unplanned Readmission Measure (ZIP, 720 KB) , or
Note: If the MVP participant doesn’t meet case minimum for the population health measure selected, the measure will be excluded from scoring.
You’ll need to select and report 4 quality measures from your selected MVP. An MVP may include the CAHPS for MIPS Survey measure. If you wish to administer the CAHPS for MIPS Survey as 1 of your 4 required measures, you’ll need to complete a separate registration for the CAHPS for MIPS Survey.
Group
Subgroup
In addition to the information above, if you select the subgroup participation option, you’ll need to know the following for each subgroup:
- List of clinicians within the subgroup (at least 2 clinicians, with at least one individually eligible MIPS eligible clinician)
- The subgroup name
Why do I need to provide a subgroup name?
CMS publicly reports QPP performance information on Care Compare. When we begin publicly reporting subgroup performance data in calendar year 2026 (based on performance year 2024), we’ll display the subgroup name provided during registration. - Whether the subgroup is single specialty or multispecialty
- Brief description of the subgroup composition (e.g., “This subgroup represents our west side practice, which uses one electronic health record (EHR) platform and collaborates on patient care across orthopedic surgeons, physical therapists, nurse practitioners, and other associated clinicians.“)
Individual
APM Entity
- Traditional MIPS,
- APM Performance Pathway (APP) (if applicable), or
- A different MVP, only if you registered before December 2nd of the performance year.
- The clinicians are in multiple specialties, providing team-based care, and wish to be evaluated on their performance relevant to the scope of care.
- The clinicians are in the same specialty, providing the same or similar aspects of care, and wish to be evaluated on their performance.
- Your practice has multiple EHR platforms and these clinicians are all using the same EHR platform, making data collection easier.
How to Register to Report an MVP
To register to report an MVP, you must sign in to the QPP website with your Health Care Quality Information System (HCQIS) Access Roles and Profile system (HARP) account. This is different from the 2023 MVP registration process of emailing an Excel form to the QPP Service Center. The 2024 MVP Registration Guide provides detailed steps on how to complete the registration process and contains frequently asked questions.
Continue learning about MIPS Value Pathways (MVPs)