MVP ID: M0004
Most applicable medical specialty(s):
Neurology
The Quality Care for Patients with Neurological Conditions MVP focuses on the clinical theme of promoting quality care for patients suffering from neurological conditions.
Quality
Report 4 quality measures (one must be an outcome or a high priority measure):
- Quality ID: 047: Advance Care Plan
- Quality ID: 130: Documentation of Current Medications in the Medical Record
- Quality ID: 238: Use of High-Risk Medications in Older Adults
- Quality ID: 268: Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy
- Quality ID: 281: Dementia: Cognitive Assessment
- Quality ID: 282: Dementia: Functional Status Assessment
- Quality ID: 286: Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia
- Quality ID: 288: Dementia: Education and Support of Caregivers for Patients with Dementia
- Quality ID: 291: Assessment of Cognitive Impairment or Dysfunction for Patients with Parkinson's Disease
- Quality ID: 293: Rehabilitative Therapy Referral for Patients with Parkinson's Disease
- Quality ID: 386: Amyotrophic Lateral Sclerosis (ALS) Patient Care Preferences
- Quality ID: 495: Ambulatory Palliative Care Patients’ Experience of Feeling Heard and Understood
- Quality ID: 503: Gains in Patient Activation Measure (PAM) Scores at 12 Month
- Quality ID: 513 - Patient Reported Falls and Plan of Care
Improvement Activities
Report one improvement activity from the list below:
- IA_BE_4: Engagement of patients through implementation of improvements in patient portal
- IA_BE_6: Regularly Assess Patient Experience of Care and Follow Up on Findings
- IA_BE_16: Promote Self-management in Usual Care
- IA_BE_24: Financial Navigation Program
- IA_BMH_4: Depression screening
- IA_EPA_2: Use of telehealth services that expand practice access
- IA_MVP: Practice-Wide Quality Improvement in MIPS Value Pathways
- IA_PCMH: Electronic submission of Patient Centered Medical Home accreditation
- IA_PM_11: Regular review practices in place on targeted patient population needs
- IA_PM_16: Implementation of medication management practice improvements
- IA_PM_21: Advance Care Planning
- IA_PSPA_21: Implementation of fall screening and assessment programs
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
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.