CMS Releases 2025 MIPS Final Scores — Physicians Have 60 Days to Contest
October 2, 2026
Eligible clinicians and group practices can request a targeted review of their final score before 2027 payment adjustments take effect.
Final Scores Are Out, Adjustments Follow in About a Month
The Centers for Medicare & Medicaid Services has released Merit-based Incentive Payment System performance feedback and final scores for the 2025 performance year. The 2025 final score determines the payment adjustment eligible clinicians and group practices will receive in 2027, and 2027 MIPS payment adjustments will be available in approximately one month. If an eligible clinician or group practice believes CMS calculated their final score or 2027 payment adjustment incorrectly, they must file a targeted review with CMS within 60 days.
How the Targeted Review Window Works
The targeted review window opened with the release of final scores and will close 30 days after the release of MIPS payment adjustments. CMS will announce the release of payment adjustments through the QPP listserv in approximately one month. CMS generally requires documentation to support a targeted review request, which varies by circumstance, and a CMS representative will contact applicants about any specific documentation required. If a targeted review request is approved and results in a scoring change, CMS will update the final score and, if applicable, the associated payment adjustment as soon as technically feasible.
Common Reasons to File a Targeted Review
- Data were submitted under the wrong Tax Identification Number or National Provider Identifier.
- The clinician has Qualifying APM Participant status and shouldn't receive a MIPS payment adjustment.
- Performance categories weren't automatically reweighted despite qualifying for reweighting due to extreme and uncontrollable circumstances.
How to Request a Targeted Review
Sign in at qpp.cms.gov using HARP credentials, or ACO-MS credentials for Shared Savings Program ACOs — the same credentials used to submit 2025 MIPS data. Then click "Targeted Review" in the left-hand navigation.
Source: American Medical Association, Centers for Medicare & Medicaid Services, Quality Payment Program
State Attorneys Denied Emergency Stay on Court-ordered Receivership of Prison Health Care System The U.S. Supreme Court on Thursday denied Arizona's last-ditch effort to temporarily halt a court-ordered takeover of health care operations and management within state-run prisons. Without an emergency stay of the court's order, Arizona's Department of Corrections, Rehabilitation and Re-entry must turn over the management of its health care operations for roughly 25,000 incarcerated people to Annette Chambers-Smith, former director of the Ohio Department of Rehabilitation and Correction, beginning on October 19. Roots of the Case The dispute began in 2012 when inmates sued the department, alleging the prison system's inadequate medical, mental health, and dental care amounted to cruel and unusual punishment under the Eighth Amendment. The case went through years of litigation and a failed settlement agreement. In 2023, U.S. District Judge Roslyn Silver ruled that the health care system was "grossly inadequate." The court ordered the prison healthcare system to comply with more than 150 "quality indicators," but according to court-appointed monitors, the department failed to comply with 131 of the measures. In light of this finding, Silver mandated that health care in Arizona prisons would be overseen by Annette Chambers-Smith, former director of the Ohio Department of Rehabilitation and Correction, to take over as receiver effective Oct. 19. A Last-Ditch Appeal Attorneys for the Arizona Department of Corrections, Rehabilitation and Reentry asked the U.S. Supreme Court to delay a court-ordered receivership of the state's prison health care system. The request came after both a federal district court and the 9th U.S. Circuit Court of Appeals declined to pause the takeover. In the application, former U.S. Solicitor General Paul Clement, a representative of the department, argued that the state deserves more time to make its case before surrendering control of its operations, including oversight of its employees and health care budget. Arguments on Both Sides Clement argues receivership should have been the last resort and that Silver moved to it too quickly. He asserted that the department made measurable progress, including growing its health care staffing by more than 50%, expanding substance-use treatment access, and adopting a new care model. Corene Kendrick, deputy director of the American Civil Liberties Union National Prison Project, which represents the roughly 25,000 people incarcerated in Arizona prisons, called the department's request a "Hail Mary" and said Silver gave the department years of opportunities to comply before ordering receivership. What Happens Next Health care for thousands of incarcerated people will be managed under Chambers-Smith's oversight, as mandated by Silver, beginning on Oct. 19. The receivership affects all nine of Arizona's state-run prisons but will not impact health care for inmates in private facilities. Information in this article was sourced from the Arizona Mirror and Arizona's Family .
The Arizona Office of Economic Opportunity, through the Rural Health Transformation Program, has released two grant programs supporting rural physician retention, well-being, and transition to practice in Arizona. Two New Funding Opportunities Released The Arizona Rural Health Transformation Program shares the following announcement on behalf of the Arizona Office of Economic Opportunity. AOEO has officially released two Request for Grant Applications for: the Provider Retention & Well-Being Microgrant the Transition to Practice Program Provider Retention & Well-Being Microgrant Program The Provider Retention & Well-Being Microgrant Program supports rural physicians and other health care professionals through targeted microgrants designed to reduce burnout, strengthen workforce retention, and promote well-being. These investments help sustain a stable and resilient rural health workforce across Arizona. Applicants can find the application and associated attachments at the Provider Retention & Well-Being Microgrant Program page. Transition to Practice Program The Transition to Practice Program supports newly licensed physicians and other health care professionals in rural Arizona by offering resources and structured support to help them establish and sustain their practice in underserved communities. These investments expand access to care and build long-term workforce capacity in rural health systems. Applicants can find the application and associated attachments at the Transition to Practice page. About the Rural Health Transformation Program The Rural Health Transformation Program is federal funding designed to help rural communities offset changes in Medicaid funding and improve patient care. Each state was required to craft a proposal, which was submitted to the Centers for Medicare & Medicaid Services for approval in late 2025. While the state was not granted the full amount of funding it requested, the initial federal investment is enabling additional and much-needed support for rural healthcare in Arizona. The Arizona Medical Association proudly contributed to the state's proposal alongside hospitals, community health centers, behavioral health providers, nursing organizations, Medicaid health plans, and other key stakeholders throughout the development process. Questions? Contact Jacy Smith at jacy.smith@oeo.az.gov with questions about either funding opportunity. Source: Arizona Office of Economic Opportunity, Arizona Rural Health Transformation Program
