Appendix L 2024 MVP Registration Form
Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS) (CMS-10621)
Appendix L 2024 MVP Registration Form.pptx
CY 2025 Performance Period/2027 MIPS Payment Year
OMB: 0938-1314
Merit-based Incentive Payment System (MIPS)
2024 MIPS Value Pathways (MVP) Registration Guide
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Table of Contents
How To Use This Guide 3
MVP Registration Overview 5
MVP Registration: Registration Steps 8
Group Registration 14
Individual Registration 17
APM Entity Registration 21
Subgroup Registration 25
MVP Registration: Frequently Asked Questions 32
Help and Version History 36
Purpose: This resource provides guidance on how to register for MVP reporting for the 2024 performance year.
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How to Use This Guide
How to Use This Guide
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MVP Registration: Overview
Overview
MVPs are one way to meet your MIPS reporting requirements for the 2024 performance year. You must register in advance to report an MVP.
•NEW FOR 2024: To register, you’ll sign in to the QPP website with your HCQIS Access and Roles Profile (HARP) account. This is different from the 2023 process of completing an Excel form and emailing the QPP Service Center.
You must have a HARP account and QPP Security Official role to complete the MVP Registration.
•For more information on HARP accounts, please refer to the Register for a HARP Account document in the QPP Access User Guide (ZIP, 3MB).
•For more information on obtaining the QPP Security Official role, review the Connect to an Organization document in the QPP Access User Guide (ZIP, 3MB).
Overview (Continued)
2024 MVP Registration Timeline
MVP Registration: Registration Steps
Sign into Your QPP Account
With your HARP credentials, sign into your QPP Account on the QPP website.
MVP and subgroup registration is limited to users with the QPP Security Official role for the practice (Tax Identification Number [TIN]) or APM Entity.
•Security officials for the practice (TIN) can complete individual, group and subgroup registrations.
Don’t have a HARP ID or the QPP Security Official role? Refer to this FAQ for more information
Select Your Organization
Find the organization for which you are wanting to register for MVP reporting. Most users will only have access to one organization type.
•If you have access to multiple organization types, you will see them tabbed across the top of the page. Click an organization type to view the list of associated organizations you can access.
•Once an organization type is selected, choose the organization registering to report MVP. You can filter by registration status or search by the Practice Name, if you have multiple organizations on your account.
•If registering for an Alternative Payment Model (APM) Entity, skip ahead to that section.
Select Your Organization (Continued)
You can’t voluntarily report or opt-in to MVP reporting; you must be MIPS eligible to report an MVP. Participants not eligible to register for MVP reporting will see Not MIPS Eligible and the register options, will be greyed out. Virtual Groups are not able to register to report for MVP reporting.
Select MVP Reporting Option
Select the appropriate reporting option, for the selected Practice. Select the reporting option below, to jump ahead in this guide
•Register Group
•Register an Individual
•Register a Subgroup
•Register an Alternative Payment Model (APM) Entity
MVP Registration – Group
You’ll need to identify the MVP being selected for reporting along with the population health measure the MVP participant wishes to be evaluated on.
Scoring reminder: If the MVP participant doesn’t meet requirements for the population health measure selected during registration, the measure will be excluded from scoring.
MVP Registration – Group (Continued)
When registering for an MVP that includes an outcomes-based administrative claims measure, you’ll be prompted to indicate whether the MVP participant would like to be evaluated on it as 1 of their quality measures.
Scoring reminder: If the MVP participant doesn’t meet case minimum for the outcomes-based administrative claims measure, they’ll receive 0 out of 10 points for the required outcome measure unless they submit another outcome measure.
MVP Registration – Group (Continued)
After all required fields are completed, select Back to MVP Registration, to be taken back to the MVP Registration page. The practice for which the MVP Registration was completed, will now display an MVP Registration Status with Complete. A Registration Summary may also be download, for your records.
If no other types of MVP registrations are needed, skip ahead in this guide, to the Frequently Asked Questions section.
MVP Registration – Individual
Individual National Provider Identifier (NPI)s, are displayed, on the Manage Individual Registration page. You can narrow results, by searching for a full or partial NPI. The page also allows for filtering based on the status of their MVP registration
Select Register Individual on the NPI the MVP registration is being completed for.
MVP Registration – Individual (Continued)
You’ll need to identify the MVP being selected for reporting along with the population health measure the MVP participant wishes to be evaluated on.
Scoring reminder: If the MVP participant doesn’t meet requirements for the population health measure selected during registration, the measure will be excluded from scoring.
MVP Registration – Individual (Continued)
When registering for an MVP that includes an outcomes- based administrative claims measure, you’ll be prompted to indicate whether the MVP participant would like to be evaluated on it as 1 of their quality measures.
Scoring reminder: If the MVP participant doesn’t meet case minimum for the outcomes-based administrative claims measure, they’ll receive 0 out of 10 points for the required outcome measure unless they submit another outcome measure.
MVP Registration – Individual (Continued)
After all required fields are completed, select Back to MVP Registration, to be taken back to the MVP Registration page. The NPI for which the MVP Registration was completed, will now display an MVP Registration Status with Complete. A Registration Summary may also be download, for your records.
If no other types of MVP registrations are needed, skip ahead in this guide, to the Frequently Asked Questions section.
MVP Registration – APM Entity
Select Register APM Entity for the APM entity an MVP registration is being completed for.
If you have multiple APM Entities on your account, you can search by the APM Entity name or filter by MVP registration status.
MVP Registration – APM Entity
You’ll need to identify the MVP being selected for reporting along with the population health measure the MVP participant wishes to be evaluated on.
Scoring reminder: If the MVP participant doesn’t meet requirements for the population health measure selected during registration, the measure will be excluded from scoring.
MVP Registration – APM Entity (Continued)
When registering for an MVP that includes an outcomes- based administrative claims measure, you’ll be prompted to indicate whether the MVP participant would like to be evaluated on it as 1 of their quality measures.
Scoring reminder: If the MVP participant doesn’t meet case minimum for the outcomes-based administrative claims measure, they’ll receive 0 out of 10 points for the required outcome measure unless they submit another outcome measure.
MVP Registration – APM Entity (Continued)
After all required fields are completed, select Back to MVP Registration, to be taken back to the MVP Registration page. The APM Entity for which the MVP Registration was completed, will now display an MVP Registration Status with Complete. A Registration Summary may also be download, for your records.
If no other types of MVP registrations are needed, skip ahead in this guide, to the Frequently Asked Questions section.
MVP Registration – Subgroup
On the Manage Subgroup Registration page, select Register a subgroup
MVP Registration – Subgroup (Continued)
Subgroups require additional information, beyond what a Group or Individual require. For these categories, do not include Personal Identifiable Information (PII) or your Tax Identification Number (TIN).
Subgroup Name: This is the name that would be used for public reporting on Medicare Care Compare.
Subgroup Composition: Select single-specialty or multi-specialty, based on the composition of your subgroup.
Subgroup Composition Narrative (Informational Purposes Only): Describe and provide rationale for how you chose which clinicians to include in this subgroup. Example: "This subgroup represents our west side practice, which uses one EHR platform and collaborates on patient care across orthopedic surgeons, physical therapists, nurse practitioners (NPs), and other associated clinicians."
MVP Registration – Subgroup (Continued)
You’ll need to identify the MVP being selected for reporting along with the population health measure the MVP participant wishes to be evaluated on.
Population health measures:
Scoring reminder: If the MVP participant doesn’t meet requirements for the population health measure selected during registration, the measure will be excluded from scoring.
Subgroups will be evaluated on the selected population health measure at the affiliated group level (all clinicians in the practice).
MVP Registration – Subgroup (Continued)
Add clinicians to the subgroup
Check the box next to each clinician to be included in the subgroup. Your subgroup must include at least 2 clinicians and at least one individually eligible MIPS eligible clinician (identified by Individual status in the Eligibility column).
MVP Registration – Subgroup (Continued)
Another way to add clinicians to the subgroup is to download a file of all clinicians in the practice/TIN.
Within the file, choose "yes" from the dropdown, in column A, Include in Subgroup. Save the workbook to your computer and select Continue to upload within the Select Subgroup Members, section in the Registration Portal.
Upload the file.
MVP Registration – Subgroup (Continued)
Upload the file by either dragging and dropping the file or navigating to the location the file is saved, on your computer. After a successful upload, select Review subgroup members, to confirm the changes, to the listed clinicians, on the screen.
Note: Uploading a file will overwrite any existing subgroup composition.
MVP Registration – Subgroup (Continued)
After all required fields are completed, select Back to Manage Subgroup Registration, to be taken back to the Manage Subgroup Registration page. The practice for which the MVP Registration was completed, will now display an MVP Registration Status with Complete. A Registration Summary may also be download, for your records.
MVP Registration: Frequently Asked Questions
Frequently Asked Questions
What do I do if I don’t have a HARP ID or QPP Security Official role?
You need both a HARP ID and the QPP Security Official role for your organization to submit an MVP registration.
•The Security Official for a Practice organization can submit an MVP registration on behalf of an individual, subgroup or group MVP registration.
•The Security Official for an APM Entity organization can submit an APM Entity MVP registration.
To learn about HARP account registration, review Step 1. Register for a HARP Account in the Quality Payment Program Access Guide (ZIP 3MB).
To learn about QPP roles, review Step 2a. Connect as an Organization in the Quality Payment Program Access Guide (ZIP 3MB).
Can our third party intermediary complete our MVP (and subgroup if applicable) registration?
No. Only the practice or APM Entity Security Official can complete MVP registration.
Can we update our registration?
Yes, you can update your registration on the QPP Website until the deadline on Monday, December 2, 2024 at 8 p.m. ET.
Frequently Asked Questions
Once we’re registered for an MVP, do we have to report it?
No. Even if you register to report an MVP, you can still choose to report traditional MIPS (or the APM Performance Pathway, APP, if applicable) instead (or in addition to your MVP reporting). As a reminder, the subgroup participation option is only available for MVP reporting; MIPS eligible clinicians that registered to report as a subgroup would need to report traditional MIPS or the APP as individuals, as a group or as an APM Entity (if applicable) if they don’t report the MVP.
If you complete an MVP registration but don’t ultimately report the MVP, you’ll receive the highest final score that can be attributed to you from any reporting option and participation option, with the exception of virtual groups.
We would like to submit the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey for 1 of our 4 required quality measures, how do we do this?
If the MVP you’ve registered for, includes the CAHPS for MIPS Survey as an available quality measure, you’ll need to complete a separate registration by July 1, 2024, at 8p.m. ET. Visit the QPP website to learn more about CAHPS for MIPS Survey registration.
•Groups, subgroups*, and APM Entities that are registered to report the following 3 MVPs and intend to administer the CAHPS for MIPS Survey as 1 of their 4 quality measures:
1.Adopting Best Practices and Promoting Patient Safety within Emergency Medicine MVP (MVP ID: G0057)
2.Advancing Cancer Care MVP (MVP ID: M0001)
3.Value in Primary Care MVP (MVP ID: M0005)
Frequently Asked Questions
Can we register and then become ineligible for reporting the MVP we registered for?
Yes, if you register to report an MVP as an individual or group*. You can’t voluntarily report or opt-in to MVP reporting; you must be MIPS eligible to report an MVP.
Eligibility timeline:
•Initial 2024 MIPS eligibility was available in December 2023, before the 2024 MVP registration period.
•Final 2024 eligibility will be available by early December 2024.
Just as with traditional MIPS, individuals and groups that register for an MVP must confirm their final eligibility for the 2024 performance year when it’s published on the QPP Participation Status tool.
An individual (identified by TIN/NPI combination) or group (identified by TIN) that becomes ineligible or opt-in eligible when final eligibility is released can’t report the MVP they registered for.
Instead, they can:
1.Voluntarily report traditional MIPS.
2.Opt-in to traditional MIPS reporting (if applicable).
3.Do nothing/don’t report. (Ineligible and opt-in eligible clinicians and groups aren’t required to report.)
*Please note that this doesn’t apply to subgroups. We only use initial eligibility results to determine a subgroup’s eligibility to register for and report an MVP (83 FR 70043). If the subgroup’s affiliated group becomes ineligible, or opt-in eligible, when final eligibility is released, the subgroup can still report the MVP for which they registered. If the subgroup reports, the MIPS eligible clinicians in the subgroup will receive the associated payment adjustment.
Where can I learn more about eligibility?
You can learn more about eligibility and how it can change by reviewing the QPP website and the 2024 MIPS Eligibility and Participation Quick Start Guide (PDF, 1MB).
Help and Version History
Version History
If we need to update this document, changes will be identified here.
DATE | DESCRIPTION |
08/30/2024 | Added OMB control number and expiration date on slide 1 and updated PRA disclosure language on slide 38. |
06/25/2024 | Updated to include PRA disclosure language. |
05/17/2024 | Updated to add new FAQ (p. 35) |
04/01/2024 | Original Posting. |
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| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |
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