Appendix L 2025 MVP Registration Form

Merit-based
Incentive Payment
System (MIPS)
2025 MIPS Value Pathways
(MVP) Registration Guide

Table of Contents
How To Use This Guide

3

MVP Registration Overview

5

MVP Registration: Registration Steps

8

Group Registration

14

Individual Registration

17

APM Entity Registration

21

Subgroup Registration

25

MVP Registration: Frequently Asked Questions

33

Help and Version History

37

Purpose: This resource provides
guidance on how to register for MVP
reporting for the 2025 performance
year.

Skip ahead by clicking the links in the
Table of Contents.

Disclaimer: The screenshots included in this user guide were based on the QPP test environment. Because we are always working to
incorporate feedback and improve the experience, there may be differences between these screenshots and what you see on the
QPP website.

2

How to Use This
Guide

HOW TO USE THIS GUIDE

Table of Contents
Click this icon (on the bottom left of each page)
to return to the table of contents.

Hyperlinks
Hyperlinks to the Quality Payment Program
website and downloadable resources are
included throughout the guide to direct the
reader to more information and resources.

Please Note: This guide was prepared for
informational purposes only and isn't intended
to grant rights or impose obligations. The
information provided is only intended to be a
general summary. It isn't intended to take the
place of the written law, including the
regulations. We encourage readers to review the
specific statutes, regulations, and other
interpretive materials for a full and accurate
statement of their contents.

4

MVP Registration:
Overview

MVP REGISTRATION: OVERVIEW

Overview
MVPs are one way to meet your MIPS reporting requirements for the 2025 performance year. You must sign in
to the QPP website and register in advance to report an MVP.

• To register, an individual at your organization will need a HCQIS Access and Roles Profile (HARP) account
with the Quality Payment Program (QPP) Security Official Role.
−

For more information on HARP accounts, please refer to the Register for a HARP Account document
in the QPP Access User Guide (ZIP, 4MB).

−

For more information on obtaining the QPP Security Official role, review the Connect to an
Organization document in the QPP Access User Guide (ZIP, 4MB).

MVP Implementation Guide
For more information about MVP reporting, refer to
the 2025 MVP Implementation Guide (PDF, 2MB)

6

MVP REGISTRATION: OVERVIEW

Overview (Continued)
2025 MVP Registration Timeline

April 1, 2025

June 30, 2025

December 1,
2025

MVP Registration opens
April 1, 2025

• To report the CAHPS for MIPS Survey
as part of an MVP, you must complete
your MVP registration by June 30,
2025, to align with the CAHPS for MIPS
registration deadline.

MVP registration
deadline for those not
reporting the CAHPS for
MIPS Survey.

• You must separately register to
participate in the CAHPS for MIPS
Survey.

• Registration closes at
8 p.m. ET, December
1, 2025.

• CAHPS for MIPS Survey registration
closes at 8 p.m. ET, June 30, 2025.
7

MVP Registration:
Registration Steps

MVP REGISTRATION: REGISTRATION STEPS

Sign into Your QPP Account

Sign in to your QPP Account on the QPP website using your HARP
credentials.
MVP and subgroup registration is limited to users with the QPP
Security Official role for the practice (Tax Identification Number
[TIN]) or Alternative Payment Model (APM) Entity.
•

Security officials for the practice (TIN) can complete
individual, group, and subgroup registrations.

Don't have a HARP ID or the QPP Security Official role? Refer to
this FAQ for more information

9

MVP REGISTRATION: REGISTRATION STEPS

Navigate to the Registration Portal
Once you're signed in to your account, you
can begin registering by:
•

Selecting the Go to registration
portal quick link on the Account
Home page and then click Register or
edit an MVP registration; OR

•

Selecting the Registration tab in the
left-hand navigation menu and then
click Register or edit an MVP
registration.

10

MVP REGISTRATION: REGISTRATION STEPS

Select Your Organization
1. Click APM Entities or Practices (most users will
only see one option available) to view a list of
associated organizations you can access.
•

If registering for an APM Entity, skip ahead
to that section.

You can filter by registration status or search by
the practice name if you have multiple
organizations associated with your account.

2.

Locate the organization under which you
wish to register. From here, you can select
the option to register a group, individual,
or subgroup.

11

MVP REGISTRATION: REGISTRATION STEPS

Select Your Organization (Continued)
You can't voluntarily report or opt-in to MVP reporting; you must be MIPS eligible to report an MVP. Participants that aren't
eligible to register for MVP reporting will see Not MIPS Eligible and the registration options will be grayed out. Virtual Groups can't
register for MVP reporting.

v
Items marked with a red asterisk (*) within the registration portal are required fields.
Changes will save automatically, as indicated at the top of the screen.

12

MVP REGISTRATION: REGISTRATION STEPS

Select MVP Registration Option
Select the appropriate registration
option
• Selecting Register group will take
you to the MVP Registration
Details page to begin registration.
• Selecting Register an individual
will take you to the Manage
Individual Registration page.
• Selecting Register a subgroup will
take you to the Manage Subgroup
Registration page.
Jump ahead in this guide by
selecting the applicable registration
option below.
• Register Group

• Register an Individual
• Register a New Subgroup
• Register an Alternative Payment
Model (APM) Entity

NOTE: For more information about the MVP
reporting options, refer to the 2025 MVP
Implementation Guide (PDF, 2MB)

13

MVP REGISTRATION: REGISTRATION STEPS

MVP Registration – Group
On the MVP Registration Details page, select the MVP you plan to report. You won't be required to select a population health
measure during registration. This is different from the 2024 MVP registration process requiring you to select a population health
measure.

Reminder: A group must have 16 or more clinicians to be eligible for either of the population health measures. We will
calculate all available population health measures within the selected MVP and apply the highest achieving measure to your
quality score. If you don't meet case minimum for either population health measure, the measure will be excluded from
scoring. The population health measures don't count towards the 4 required quality measures.

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MVP REGISTRATION: REGISTRATION STEPS

MVP Registration – Group (Continued)
When registering for an MVP that
includes an outcomes-based
administrative claims measure, you'll be
prompted to indicate whether the
MVP participant would like to be
evaluated on it as 1 of your 4 quality
measures.
Scoring reminder: If you don't meet
case minimum for the outcomes-based
administrative claims measure, you'll
receive 0 out of 10 points for the
required outcome measure unless you
submit another outcome measure
available within the MVP.

15

MVP REGISTRATION: REGISTRATION STEPS

MVP Registration – Group (Continued)
After all required fields are completed,
select Back to MVP Registration to be
taken back to the MVP Registration
page. The practice for which the MVP
Registration was completed will now
display an MVP Registration Status with
Complete.
A Registration Summary is available to
download for your records.
If no other types of MVP registrations
are needed, skip ahead in this guide, to
the Frequently Asked Questions section.
NOTE: If you want to delete your MVP registration at any
point, select Delete Registration at the top of the page.
Registrations may be deleted or edited until registration
closes on Monday, December 1, 2025, at 8 p.m. ET

16

MVP REGISTRATION: REGISTRATION STEPS

MVP Registration – Individual
Individual NPIs are displayed on the Manage
Individual Registration page. You can narrow results
by searching for a full or partial NPI. The page
allows for filtering based on the status of an MVP
registration.

Select Register Individual for the NPI the MVP
registration is being completed for.

Participants that aren't eligible to register for MVP
reporting will be labeled Not MIPS Eligible and the
register option, will be grayed out.

17

MVP REGISTRATION: REGISTRATION STEPS

MVP Registration – Individual (Continued)
On the MVP Registration Details page, select the MVP you plan to report.
•

You won't be required to select a population health measure during registration. This is different from the 2024 MVP
registration process requiring you to select a population health measure.

•

The current population health measures don't apply to individual clinicians and will be excluded from their score.

18

MVP REGISTRATION: REGISTRATION STEPS

MVP Registration – Individual (Continued)
When registering for an MVP that includes
an outcomes-based administrative claims
measure, you'll be prompted to indicate
whether the MVP participant would like to
be evaluated on it as one of your quality
measures.
Scoring reminder: If you don't meet case
minimum for the outcomes-based
administrative claims measure, you'll
receive 0 out of 10 points for the required
outcome measure unless you submit
another outcome measure available within
the MVP.

19

MVP REGISTRATION: REGISTRATION STEPS

MVP Registration – Individual (Continued)
All changes are automatically saved.
After all required fields are
completed, select Back to Manage
Individual Registration to be taken
back to the MVP Registration page.
The practice for which the MVP
Registration was completed will now
display an MVP Registration Status
with Complete.
A Registration Summary is available
to download for your records.

If no other types of MVP
registrations are needed, skip ahead
in this guide, to the Frequently Asked
Questions section.

NOTE: If you want to delete your MVP
registration at any point, select Delete
Registration at the top of the page. Registrations
may be deleted or edited until registration closes
on Monday, December 1, 2025, at 8 p.m. ET.

20

MVP REGISTRATION: REGISTRATION STEPS

MVP Registration – APM Entity

Select Register APM Entity for the APM
entity an MVP registration is being
completed for.
If you have multiple APM Entities on your
account, you can search by the APM Entity
name or filter by MVP registration status.

21

MVP REGISTRATION: REGISTRATION STEPS

MVP Registration – APM Entity
On the MVP Registration Details page, select the MVP you plan to report.

•

You won't be required to select a population health measure during registration. This is different from the 2024 MVP
registration process requiring you to select a population health measure.

Scoring reminder: We will calculate all available population health measures within the selected MVP and apply the highest
achieving measure to your quality score. If you don't meet case minimum for either population health measure, the measure will
be excluded from scoring. The population health measures don't count towards the 4 required quality measures.

22

MVP REGISTRATION: REGISTRATION STEPS

MVP Registration – APM Entity (Continued)
When registering for an MVP that
includes an outcomes-based
administrative claims measure, you'll
be prompted to indicate whether the
MVP participant would like to be
evaluated on it as one of your quality
measures.
Scoring reminder: If you don't meet
case minimum for the outcomesbased administrative claims measure,
you'll receive 0 out of 10 points for
the required outcome measure
unless you submit another outcome
measure available within the MVP.

23

MVP REGISTRATION: REGISTRATION STEPS

MVP Registration – APM Entity (Continued)
All changes are automatically saved.
After all required fields are completed,
select Back to MVP Registration to be
taken back to the MVP Registration
page. The practice for which the MVP
Registration was completed will now
display an MVP Registration Status with
Complete.
A Registration Summary is available to
download for your records.
If no other types of MVP registrations
are needed, skip ahead in this guide, to
the Frequently Asked Questions section.

NOTE: If you want to delete your MVP
registration at any point, select Delete
Registration at the top of the page.
Registrations may be deleted or edited until
registration closes on Monday, December 1,
2025, at 8 p.m. ET

24

MVP REGISTRATION: REGISTRATION STEPS

MVP Registration – Subgroup

On the Manage Subgroup
Registration page, select
Register a subgroup.

25

MVP REGISTRATION: REGISTRATION STEPS

MVP Registration – Subgroup (Continued)
Subgroups registration requires additional information,
beyond what a Group or Individual require. For these
categories, don't include Personal Identifiable
Information (PII) or your Tax Identification Number (TIN).
Subgroup Name: This is the name that would be used for
public reporting on Medicare Care Compare.

NOTE: After entering a Subgroup name, press Tab on
your keyboard or click outside of the subgroup name
field, to advance to the remaining Subgroup information.

Subgroup Composition: Select single-specialty or multispecialty, based on the composition of your subgroup.

Subgroup Composition Narrative (Informational Purposes
Only): Describe and provide rationale for how you chose
which clinicians to include in this subgroup. Example:
"This subgroup represents our west side practice, which
uses one EHR platform and collaborates on patient care
across orthopedic surgeons, physical therapists, nurse
practitioners (NPs), and other associated clinicians."

TIP: After the Subgroup Name is entered, a
Subgroup ID will be generated by the system.
This unique ID will be needed during data
submission time, so it's important to make
note of it.

26

MVP REGISTRATION: REGISTRATION STEPS

MVP Registration – Subgroup (Continued)
You'll need to select the MVP you plan to report.
•

You won't be required to select a population health measure during registration. This is different from the 2024 MVP
registration process requiring you to select a population health measure.

Reminder: We will calculate all available population health measures within the selected MVP and apply the highest achieving
measure to your quality score. If you don't meet case minimum for either population health measure, the measure will be
excluded from scoring. The population health measures don't count towards the 4 required quality measures.
•

Subgroups will be evaluated on the selected population health measure at the affiliated group level (all clinicians in the
practice). The affiliated group must have 16 or more clinicians for the subgroup to eligible for the current population
health measures.

27

MVP REGISTRATION: REGISTRATION STEPS

MVP Registration – Subgroup (Continued)
To add clinicians to the subgroup,
check the box next to each
clinician.
• Your subgroup must include at
least 2 clinicians and at least
one individually eligible MIPS
eligible clinician (identified by
Individual status in the Eligibility
column).

The Incomplete status will update to Complete as the 2
requirements are met.

28

MVP REGISTRATION: REGISTRATION STEPS

MVP Registration – Subgroup (Continued)
Another way to add clinicians to the subgroup is to
download a file of all clinicians in the practice/TIN.
Within the file, choose "yes" from the dropdown, in
column A, Include in Subgroup.
•

You don't need to make any selections for
clinicians you're not including in the subgroup.

Save the workbook to your computer and select
Continue to upload within the Select Subgroup
Members section in the Registration Portal.

Upload the file by
selecting Continue to
upload.

29

MVP REGISTRATION: REGISTRATION STEPS

MVP Registration – Subgroup (Continued)

You can upload the file by either
dragging and dropping the file or by
selecting Browse and navigating to the
location the file is saved on your
computer.

30

MVP REGISTRATION: REGISTRATION STEPS

MVP Registration – Subgroup (Continued)

After a successful upload, select Review subgroup
members to confirm the changes to the listed
clinicians on the screen.

Note: Uploading a file will overwrite any existing
subgroup composition.

31

MVP REGISTRATION: REGISTRATION STEPS

MVP Registration – Subgroup (Continued)
All changes are automatically saved.
After all required fields are completed,
select Back to Manage Subgroup
Registration to be taken back to the
Manage Subgroup Registration page.
The practice for which the MVP
Registration was completed will now
display an MVP Registration Status with
Complete.
A Registration Summary is available to
download for your records.
NOTE: If you want to delete your MVP
registration at any point, select Delete
Registration at the top of the page.
Registrations may be deleted or edited until
registration closes on Monday, December 1,
2025, at 8 p.m. ET

32

MVP Registration:
Frequently Asked
Questions

MVP REGISTRATION: FREQUENTLY ASKED QUESTIONS

Frequently Asked Questions
What do I do if I don't have a HARP ID or QPP Security Official role?
You need both a HARP ID and the QPP Security Official role for your organization to submit an MVP registration.
• The Security Official for a practice can submit an MVP registration on behalf of an individual, group, or subgroup.
• The Security Official for an APM Entity can submit an APM Entity MVP registration.
To learn about HARP account registration, review Step 1. Register for a HARP Account in the Quality Payment Program Access
Guide (ZIP, 4MB).
To learn about QPP roles, review Step 2a. Connect as an Organization in the Quality Payment Program Access Guide (ZIP,
4MB).
Can our third party intermediary complete our MVP (and subgroup if applicable) registration?
No. Only the practice or APM Entity Security Official can complete MVP registration.
Can we update our registration?
Yes, you can update your registration on the QPP Website until the deadline on Monday, December 1, 2025, at 8 p.m. ET.

34

MVP REGISTRATION: FREQUENTLY ASKED QUESTIONS

Frequently Asked Questions
Once we're registered for an MVP, do we have to report it?
No. Even if you register to report an MVP, you can still choose to report Traditional MIPS (or the APM Performance Pathway [APP]
if applicable) instead (or in addition to your MVP reporting). As a reminder, the subgroup participation option is only available for
MVP reporting; MIPS eligible clinicians that registered to report as a subgroup would need to report traditional MIPS or the APP
as individuals, as a group, or as an APM Entity (if applicable) if they don't report the MVP.
If you complete an MVP registration but don't ultimately report the MVP, you'll receive the highest final score that can be
attributed to you from any reporting option and participation option, with the exception of virtual groups.
We would like to submit the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey for 1 of our 4
required quality measures, how do we do this?

Groups, subgroups*, and APM Entities that register for an MVP that includes the CAHPS for MIPS Survey as an available quality
measure will need to complete a separate registration by June 30, 2025, at 8p.m. ET. Visit the QPP website to learn more about
CAHPS for MIPS Survey registration.
•

The CAHPS for MIPS Survey is available as a quality measure
within the following MVPs:
1.

Adopting Best Practices and Promoting Patient Safety
within Emergency Medicine MVP (MVP ID: G0057)

2.

Advancing Cancer Care MVP (MVP ID: M0001)

3.

Optimal Care for Patients with Urologic Conditions MVP
(MVP ID: M1423)

4.

Value in Primary Care MVP (MVP ID: M0005)

*Subgroups must contact the QPP
Service Center to complete a CAHPS for
MIPS registration.
Contact the QPP Service Center by
email at QPP@cms.hhs.gov, by creating
a QPP Service Center ticket, or by
phone at 1-866-288-8292 (Monday
through Friday, 8 a.m. - 8 p.m. ET).

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MVP REGISTRATION: FREQUENTLY ASKED QUESTIONS

Frequently Asked Questions
Can we register and then become ineligible for reporting the MVP we registered for?
Yes, if you register to report an MVP as an individual or group*. You can't voluntarily report or opt-in to MVP reporting; you must be MIPS eligible
to report an MVP.
Eligibility timeline:
•
•

Initial 2025 MIPS eligibility was available in December 2024, before the 2025 MVP registration period.
Final 2025 eligibility will be available by early December 2025.

Just as with traditional MIPS, individuals and groups that register for an MVP must confirm their final eligibility for the 2025 performance year
when it's published on the QPP Participation Status tool.

An individual (identified by TIN/NPI combination) or group (identified by TIN) that becomes ineligible or opt-in eligible when final eligibility is
released can't report the MVP they registered for.
Instead, they can:
1. Voluntarily report traditional MIPS.
2. Opt-in to traditional MIPS reporting (if applicable).
3. Do nothing/don't report. (Ineligible and opt-in eligible clinicians and groups aren't required to report.)
*Please note that this doesn't apply to subgroups. We only use initial eligibility results to determine a subgroup's eligibility to register for and
report an MVP (83 FR 70043). If the subgroup's affiliated group becomes ineligible or opt-in eligible when final eligibility is released, the
subgroup can still report the MVP for which they registered. If the subgroup reports, the MIPS eligible clinicians in the subgroup will receive the
associated payment adjustment.
Where can I learn more about eligibility?
You can learn more about eligibility and how it can change by reviewing the QPP website and the 2025 MIPS Participation and Eligibility User
Guide (PDF, 2MB).

36

Help and Version
History

HELP AND VERSION HISTORY

Where Can You Go for Help?

Contact the Quality Payment Program Service
Center by email at QPP@cms.hhs.gov, by creating a
QPP Service Center ticket, or by phone at 1-866-2888292 (Monday through Friday, 8 a.m. - 8 p.m. ET). To
receive assistance more quickly, please consider
calling during non-peak hours—before 10 a.m. and
after 2 p.m. ET.

People who are deaf or hard of hearing can dial 711
to be connected to a TRS Communications
Assistant.

Visit the Quality Payment Program
website for other help and support
information, to learn more about
MIPS, and to check out the resources
available in the Quality Payment
Program Resource Library.

Visit the Small Practices page of
the Quality Payment Program
website where you can sign up
for the monthly QPP Small
Practices Newsletter and find
resources and information relevant
for small practices.

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HELP AND VERSION HISTORY

Version History
If we need to update this document, changes will be identified here.

D AT E
04/01/2025

DESCRIPTION
Original Posting.

According to the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.), no persons are required to respond to a collection of information
unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-1314 (Expiration date:
2/28/2027). This information collection is the tool to register as an MVP to meet MIPS reporting requirements. The time required to
complete this information collection varies per response, including the time to review instructions, search existing data resources, gather the
data needed, to review and complete the information collection. This information collection is mandatory (Medicare Access and CHIP
Reauthorization Act of 2015 (MACRA) (Pub. L. 114-10, April 16, 2015)) and all information collected will be kept private in accordance with
regulations at 45 CFR 155.260, Privacy and Security of Personally Identifiable Information. Pursuant to this regulation, CMS may only use or
disclose personally identifiable information to the extent that such information is necessary to carry out their statutory and regulatory
mandated functions. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please
write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, MD 21244-1850. If you have
questions or concerns regarding where to submit your documents, please contact QPP at qpp@cms.hhs.gov.
Under the Privacy Act of 1974 (5 U.S.C. 552a) any personally identifying information obtained will be kept private to the extent of the law.

39