Improvement Activities Performance Category

CY 2025 Call for Improvement Activities Submission Form

Improvement activities recommended for inclusion or modification should be sent using the Improvement Activities Submission Template (below) to the email: CMSCallforActivities@abtassoc.com. Stakeholders will receive an email confirmation for their submission.  Improvement activities submitted between now and July 1, 2025 will be considered for inclusion for the CY 2027 performance period/2029 MIPS payment year. Improvement activities submitted after July 1, 2025, will be considered for inclusion in future years of the Quality Payment Program.  During a public health emergency (PHE), nominations will be accepted outside of the February 1 through July 1 submission period as long as the improvement activity is relevant to the PHE. All fields of this form must be completed in order for your submission to be considered. Stakeholders should submit a modification submissionQPP Resource Library if the improvement activity they submitted or one that refers to a program or policy they manage requires an update.

We also refer submitters to the 2025 MIPS Improvement Activities list on the CMS Quality Payment Program Resource Library, which lists the complete Inventory of current improvement activities for the CY 2025 performance period/2027 MIPS payment year. Submitters should ensure that proposed new activities do not duplicate existing ones.

MIPS improvement activities considered for selection must meet all 8 of the required acceptance criteria below: 

• Relevance to an existing improvement activities subcategory (or a proposed new subcategory);
• Importance of an activity toward achieving improved beneficiary health outcomes;
• Feasible to implement, recognizing importance in minimizing burden, including, to the extent possible, for small practices, practices in rural areas, or practices in areas designated as geographic Health Professional Shortage Areas (HPSAs) by the Health Resources and Services Administration (HRSA);
• Evidence supports that an activity has a high probability of contributing to improved beneficiary health outcomes;
• Can be linked to existing and related MIPS quality, Promoting Interoperability, and cost measures as applicable and feasible;
• CMS is able to validate the activity;
• Does not duplicate other improvement activities in the Inventory; and
• Should drive improvements that go beyond purely common clinical practices.

MIPS improvement activities considered for selection can also meet one or more of the optional acceptance criteria below. Meeting one or more of the optional criteria may increase a submission’s chances of being added to the Inventory:

• Alignment with patient-centered medical homes;
• Support for the patient’s family or personal caregiver;
• Responds to a PHE as determined by the Secretary;
• Addresses improvements in practice to reduce health care disparities;
• Focus on meaningful actions from the person and family’s point of view; and
• Representative of activities that multiple individual MIPS eligible clinicians or groups could perform (for example, primary care, specialty care).

Stakeholders should submit a modification submission via the Call for IA Submission Form if the improvement activity they submitted or one that refers to a program or policy they manage requires an update.”