MVP ID: M1502
Most applicable medical specialty(s):
Podiatry, Nonphysician Practitioners, Nurse Practitioners, Physician Assistants
The Podiatry MVP assesses meaningful outcomes in foot and ankle care for patients with chronic conditions, wound/ulcers, and general care for the podiatry patient.
Quality
Report 4 quality measures (one must be an outcome or a high priority measure):
- Quality ID: 126 - Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy – Neurological Evaluation
- Quality ID: 127 - Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention – Evaluation of Footwear
- Quality ID: 155 - Falls: Plan of Care
- Quality ID: 226 - Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
- Quality ID: 317 - Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
- Quality ID: 358 - Patient-Centered Surgical Risk Assessment and Communication
- Quality ID: 374 - Closing the Referral Loop: Receipt of Specialist Report
- Quality ID: MEX5 - Hammer Toe Outcome (QCDR)
- Quality ID: REGCLR1 - Heel Pain Treatment Outcomes for Adults (QCDR)
- Quality ID: REGCLR3 - Bunion Outcome - Adult and Adolescent (QCDR)
- Quality ID: REGCLR5 - Offloading with Remote Monitoring (QCDR)
- Quality ID: REGCLR8 - Monitor and Improve Treatment Outcomes in Chronic Wound Healing (QCDR)
- Quality ID: USWR32 (QCDR)
- Quality ID: USWR33 - Diabetic Foot Ulcer (DFU) Healing or Closure (QCDR)
- Quality ID: USWR34 - Venous Leg Ulcer (VLU) Healing or Closure (QCDR)
- Quality ID: USWR35 - Adequate Off-loading of Diabetic Foot Ulcers performed at each visit, appropriate to location of ulcer (QCDR)
Improvement Activities
Report one improvement activity from the list below:
- Activity ID: IA_BE_6 - Regularly Assess Patient Experience of Care and Follow Up on Findings
- Activity ID: IA_BMH_12 - Promoting Clinician Well-Being
- Activity ID: IA_CC_19 - Tracking of clinician’s relationship to and responsibility for a patient by reporting MACRA patient relationship codes
- Activity ID: IA_EPA_7 - Enhance Engagement of Medicaid and Other Underserved Populations
- Activity ID: IA_MVP - Practice-Wide Quality Improvement in MIPS Value Pathways
- Activity ID: IA_PCMH - Electronic submission of Patient Centered Medical Home accreditation
- Activity ID: IA_PM_14 - Implementation of methodologies for improvements in longitudinal care management for high risk patients
- Activity ID: IA_PSPA_18 - Measurement and improvement at the practice and panel level
- Activity ID: IA_PSPA_22 - CDC Training on CDC’s Guideline for Prescribing Opioids for Chronic Pain
- Activity ID: IA_PSPA_23 - Completion of CDC Training on Antibiotic Stewardship
- Activity ID: IA_PSPA_7 - Use of QCDR data for ongoing practice assessment and improvements
Cost
Calculated by CMS using administrative claims data:
Population Health Measures
CMS will calculate both population health measures using administrative claims data (if case minimum requirements are met) and assign the higher of these measures to the Quality score. If neither of the population health measures can be calculated, they will be excluded from scoring.
- #479: Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for the Merit-Based Incentive Payment Program (MIPS) Groups (Administrative Claims)(!!)
- #484: Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (Administrative Claims) (!!)
Promoting Interoperability
Report on the same PI measures required under traditional MIPS unless qualified for automatic reweighting or approved hardship exception:
- Actions to Limit or Restrict Compatibility or Interoperability of CEHRT Attestation
- e-Prescribing
- Query of the Prescription Drug Monitoring Program (PDMP)
- Provide Patients Electronic Access to Their Health Information
- Support Electronic Referral Loops By Sending Health Information AND
- Support Electronic Referral Loops By Receiving and Reconciling Health Information OR
- Health Information Exchange (HIE) Bi-Directional Exchange
- Enabling Exchange Under the Trusted Exchange Framework and Common Agreement (TEFCA)
- Immunization Registry Reporting
- Syndromic Surveillance Reporting
- Electronic Case Reporting
- Public Health Registry Reporting
- Clinical Data Registry Reporting
- Security Risk Analysis
- Safety Assurance Factors for EHR Resilience Guide (SAFER Guide)
- ONC Direct Review Attestation
- Public Health Reporting Using TEFCA
MVP Registration
- MVP Participants must register between April 1 – December 1, 2026 to report an MVP in 2026.
- To register, MVP Participants must select:
- The MVP they intend to report.
- Any outcomes-based administrative claims measures on which the MVP Participant intends to be scored (if available).
- Whether they plan to administer the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey, if it’s a quality measure option in the selected MVP.
- The participation option they plan to use: individual, group, subgroup, or APM Entity.
- Starting in 2026, to register for MVP reporting as a group, the practice will need to attest to their specialty composition (whether they are a single specialty group or multispecialty small practice) during the MVP registration process. CMS won’t make this determination for the practice. All other groups will need to participate as subgroups or as individuals (if eligible) to report an MVP.
- If reporting as a subgroup, registration must also include:
- A list of Taxpayer Identification Numbers (TINs)/National Provider Identifiers (NPIs) in the subgroup;
- A plain language name for the subgroup (which will be used for public reporting);
- A description of the composition of the subgroup, which may be selected from a list or described in a narrative.
- MVP Participants won’t be able to:
- Submit/make changes to the MVP they select after the close of the registration period (December 1, 2026).
- Report on an MVP they didn’t register for during the 2026 performance year.
- Report on more than one MVP.