CMS has released MIPS performance feedback and final scores for the 2025 performance year. 

• Your 2025 final score determines the payment adjustment you’ll receive in 2027. 

2027 MIPS payment adjustments will be available in November 2026. 

How Do I Access Feedback? 

• Sign in to the QPP website using your Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) system credentials; these are the same credentials that allowed you to submit your 2025 MIPS data. 

• Click “View Feedback” on the home page and select your organization (Practice, Alternative Payment Model (APM) Entity, Virtual Group). Practice representatives can access individual group feedback. Third party representatives can’t access final feedback or payment adjustment information. 

If you don’t have a HARP account or QPP role, please refer to the Register for a HARP Account and Connect to an Organization documents in the QPP Access User Guide (ZIP) and start the process now. 

Review these performance feedback resources:  

• 2025 MIPS Performance Feedback FAQs for Small Practices (PDF) – This new resource answers key questions about MIPS performance feedback experience relevant to small practices. 

• 2025 MIPS Performance Feedback FAQs (PDF) – This document answers questions about the MIPS performance feedback experience. 

• 2025 MIPS Performance Feedback Supplemental Reports Guide (PDF) – This guide reviews the downloadable supplemental and patient-level reports for administrative claims quality and cost measures. 

Review your 2025 MIPS final score on the Quality Payment Program website. 

• Individual clinicians, groups, subgroups, virtual groups, APM Entities (including Shared Savings Program Accountable Care Organizations [ACOs]), designated support staff, and authorized third party intermediaries may request that CMS review their MIPS final scores through a process called “targeted review.” 

When to Request a Targeted Review 

The targeted review period will be open for approximately 60 days. Targeted review opens with the release of final scores and will close 30 days after the release of MIPS payment adjustments. We’ll announce the release of MIPS payment adjustments through the QPP listserv in approximately one month. 

If you believe there’s an error in the calculation of your MIPS final score, you can request a targeted review now. 

For example: 

• Data was submitted under the wrong Taxpayer Identification Number (TIN) or National Provider Identifier (NPI). 

• You have Qualifying APM Participant (QP) status and shouldn’t receive a MIPS payment adjustment. 

• Performance categories weren’t automatically reweighted even though you qualify for reweighting due to extreme and uncontrollable circumstances. 

Note: This isn’t a comprehensive list of circumstances. If you have questions about whether your circumstances warrant a targeted review, please contact the QPP Service Center by phone at 1‑866‑288‑8292 (TRS: 711) or by email at QPP@cms.hhs.gov. 

How to Request a Targeted Review 

To access your MIPS final score and performance feedback and request a targeted review: 

• Sign in using your HARP credentials (ACO-MS credentials for Shared Savings Program ACOs); these are the same credentials that allowed you to submit your 2025 MIPS data. 

• Click “Targeted Review” on the left-hand navigation pane. 

CMS generally requires documentation to support a targeted review request, which varies by circumstance. A CMS representative will contact you about providing any specific documentation required. If the targeted review request is approved and results in a scoring change, we’ll update your final score and/or associated payment adjustment (if applicable), as soon as technically feasible. Please note that targeted review decisions are final and aren’t eligible for further review. 

Review these targeted review resources:  

2025 Targeted Review User Guide (PDF) – This guide outlines the process for requesting a targeted review and examples for when you would or wouldn’t request a targeted review.