Individual clinicians, groups, subgroups, virtual groups, APM Entities (including Shared Savings Program 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
If you believe there’s an error in the calculation of your MIPS final score and associated MIPS payment adjustment, you can request a targeted review now.

The targeted review period will close November 30, 2026 at 8PM, 30 days after the release of MIPS payment adjustments.
For example:
• Data were submitted under the wrong 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..

Targeted Review Resources:
• 2025 Targeted Review User Guide (PDF) – Reviews the process for requesting a targeted review and examples for when you would or wouldn’t request a targeted review.

(1) Note: The federal government shutdown doesn’t affect your ability to submit a targeted review request by the above deadline, however it may affect the response time to resolve a request.