MVP ID: M1370
Most applicable medical specialty(s):
Chiropractic Medicine, Physiatry, Physical Therapy, Occupational Therapy
The Rehabilitative Support for Musculoskeletal Care MVP focuses on the clinical theme of promoting quality care for patients
Quality
Report 4 quality measures (one must be an outcome or a high priority measure):
- Quality ID: 050: Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
- Quality ID: 128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
- Quality ID: 134: Preventive Care and Screening: Screening for Depression and Follow-Up Plan
- Quality ID: 155: Falls: Plan of Care
- Quality ID: 182: Functional Outcome Assessment
- Quality ID: 217: Functional Status Change for Patients with Knee Impairments
- Quality ID: 218: Functional Status Change for Patients with Hip Impairments
- Quality ID: 219: Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments
- Quality ID: 220: Functional Status Change for Patients with Low Back Impairments
- Quality ID: 221: Functional Status Change for Patients with Shoulder Impairments
- Quality ID: 222: Functional Status Change for Patients with Elbow, Wrist or Hand Impairments
- Quality ID: 478: Functional Status Change for Patients with Neck Impairments
- Quality ID: MSK6: Patients Suffering From a Neck Injury who Improve Pain
- Quality ID: MSK7: Patients Suffering From an Upper Extremity Injury who Improve Pain
- Quality ID: MSK8: Patients Suffering From a Back Injury who Improve Pain
- Quality ID: MSK9: Patients Suffering From a Lower Extremity Injury who Improve Pain
Improvement Activities
Report one improvement activity from the list below:
- IA_AHW_1: Chronic Care and Preventative Care Management for Empaneled Patients
- IA_BE_6: Regularly Assess Patient Experience of Care and Follow Up on Findings
- IA_BE_15 Engagement of Patients, Family, and Caregivers in Developing a Plan of Care
- IA_BE_16 Promote Self-management in Usual Care
- IA_BE_26 Promote Use of Patient-Reported Outcome Tools
- IA_BMH_12: Promoting Clinician Well-Being
- IA_BMH_15: Behavioral/Mental Health and Substance Use Screening & Referral for Older Adults
- IA_CC_8: Implementation of documentation improvements for practice/process improvements
- IA_CC_12: Care coordination agreements that promote improvements in patient tracking across settings
- IA_EPA_2: Use of telehealth services that expand practice access
- IA_EPA_3: Collection and use of patient experience and satisfaction data on access
- IA_EPA_8 Provide Education Opportunities for New Clinicians
- IA_MVP: Practice-Wide Quality Improvement in MIPS Value Pathways
- IA_PCMH: Electronic submission of Patient Centered Medical Home accreditation
- IA_PSPA_16: Use decision support—ideally platform-agnostic, interoperable clinical decision support (CDS) tools —and standardized treatment protocols to manage workflow on the care team to meet patient needs
- 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.