CMS Extends the MIPS Extreme and Uncontrollable Circumstances Application Deadline for the 2022 MIPS Performance Year until March 3, 2023

The Centers for Medicare and Medicaid Services (CMS), CMS has extended the deadline to file a 2022 MIPS Extreme and Uncontrollable Circumstances (EUC) hardship extension until March 3, 2023. The original deadline was Jan 3, 2023. If physicians feel they have been impacted by the COVID-19 pandemic in 2022 they may file a MIPS hardship exemption with CMS to avoid a 2024 MIPS penalty. 

MSMS is glad to see CMS recognize the toll the pandemic continues to have on physician practices by providing additional time to file a hardship exemption from the 2022 MIPS program. MSMS encourages practices to take advantage of this administrative relief. 

For more information on how to file an EUC, please see the CMS announcement, which is included below:


For the 2022 performance year, we continue to use our Merit-based Incentive Payment System (MIPS) Extreme and Uncontrollable Circumstances (EUC) application to allow clinicians, groups, virtual groups, and Alternate Payment Model (APM) Entities to request reweighting of MIPS performance categories due to the COVID-19 public health emergency (PHE).

We’ve extended the MIPS EUC application deadline for only individuals, groups, virtual groups, and APM Entities citing COVID-19 as the triggering event through 8 p.m. ET on Friday, March 3, 2023. Please note that applications received between January 3, 2023 and March 3, 2023 won’t override submitted data for individuals, groups, and virtual groups.

APM Entities participating in MIPS APMs can submit a MIPS EUC Exception application with some differences from our existing policy for individuals, groups, and virtual groups:

  • APM Entities are required to request reweighting for all performance categories.
  • At least 75% of the MIPS eligible clinicians in the APM Entity will need to qualify for reweighting in the Promoting Interoperability performance category.
  • Data submission for an APM Entity won’t override performance category reweighting from an approved application.

Additional Resources

For more information, please see the Quality Payment Program COVID-19 Response webpage of the QPP website.