CMS is Accepting Interested Party Recommendations for Specialty Measure Sets for the 2025 MIPS Performance Year
The Centers for Medicare & Medicaid Services (CMS) is Soliciting Interested Party Recommendations for Potential Consideration of New Specialty Measure Sets and/or Revisions to the Existing Specialty Measure Sets for the 2025 Performance Year of the Merit-based Incentive Payment System (MIPS).
CMS is accepting recommendations from interested parties regarding potential new specialty measure sets and/or revisions to existing specialty measure sets for the 2025 performance year of MIPS. Recommendations for new specialty measure sets or revisions to the 2024 specialty measure sets should be based on the established 2024 MIPS quality measures. Visit the Quality Payment Program (QPP) Resource Library to view the 2024 MIPS quality measure specifications:
- 2024 Clinical Quality Measure Specifications and Supporting Documents
- 2024 Medicare Part B Claims Measure Specifications and Supporting Documents
In addition, specialty measure set recommendations may be accepted based on potential new MIPS quality measures that are being considered for implementation in the 2025 performance year. These potential MIPS quality measures can be found on the 2023 Measures Under Consideration (MUC) List.
The current 2024 specialty measure sets are located in the Appendix measure tables of the Calendar Year (CY) 2024 Medicare Physician Fee Schedule (PFS) Final Rule.
As established in the CY 2024 Medicare PFS Final Rule, specialty measure sets currently exist for the following specialties.
- Allergy/Immunology
- Anesthesiology
- Audiology
- Cardiology
- Certified Nurse Midwife
- Chiropractic Medicine
- Clinical Social Work
- Dentistry
- Dermatology
- Diagnostic Radiology
- Electrophysiology Cardiac Specialist (a subspecialty of Cardiology)
- Emergency Medicine
- Endocrinology
- Family Medicine
- Gastroenterology
- General Surgery
- Geriatrics
- Hospitalists
- Infectious Disease
- Internal Medicine
- Interventional Radiology
- Mental/Behavioral Health and Psychiatry
- Nephrology
- Neurology
- Neurosurgical
- Nutrition/Dietician
- Obstetrics/Gynecology
- Oncology/Hematology
- Ophthalmology and Optometry
- Orthopedic Surgery
- Otolaryngology
- Pathology
- Pediatrics
- Physical Medicine
- Physical Therapy/Occupational Therapy
- Plastic Surgery
- Podiatry
- Preventive Medicine
- Pulmonology
- Radiation Oncology
- Rheumatology
- Skilled Nursing Facility
- Speech Language Pathology
- Thoracic Surgery
- Urgent Care
- Urology
- Vascular Surgery
Each recommendation must include the following to be considered:
- Quality measure identifier (ID);
- Measure title; and
- Rationale and/or documentation that supports inclusion or exclusion of the current quality measure(s) from existing specialty measure sets or inclusion in new specialty measure sets.
Recommendation submissions for a new specialty measure set and/or revisions to the current specialty measure sets should be sent to the Practice Improvement and Measures Management Support (PIMMS) Quality Measures Support mailbox at PIMMSQualityMeasuresSupport@gdit.com.
Recommendation submissions will be accepted from interested parties through Friday, February 2, 2024.
All recommendations submitted by the aforementioned deadline will be considered and assessed for possible inclusion in rulemaking for the 2025 performance year of MIPS.
Recommendation submissions for new specialty measure sets, and/or revisions to the current 2024 specialty measure sets doesn’t guarantee that the recommendations will be accepted, proposed, or finalized during rulemaking for the 2025 performance year. Determinations as to whether recommendations are accepted won’t be communicated with stakeholders directly since they are being considered for the 2025 rulemaking cycle, but recommendations that are considered will be made public through publications of the CY 2025 Medicare PFS Proposed Rule and CY 2025 Medicare PFS Final Rule.