In response to the Texas severe storms and flooding, the Centers for Medicare & Medicaid Services (CMS) has determined that the MIPS automatic Extreme and Uncontrollable Circumstances (EUC) policy will apply to MIPS eligible clinicians in the designated affected counties of Texas for the 2025 performance period.

MIPS eligible clinicians in these areas will be automatically identified and have all four performance categories reweighted to 0% during the data submission period for the 2025 performance period (January 2 to March 31, 2026). This will result in a score equal to the performance threshold, and they'll receive a neutral payment adjustment in the 2027 MIPS payment year.

However, if MIPS-eligible clinicians in these areas submit data on two or more performance categories, they’ll be scored on those performance categories and receive a 2027 MIPS payment adjustment based on their 2025 MIPS final score.

NOTE: The MIPS automatic EUC policy doesn’t apply to MIPS eligible clinicians participating in MIPS as a group, subgroup, virtual group, or Alternative Payment Model (APM) Entity. However, groups, virtual groups, and APM Entities can request reweighting through the EUC Exception application. Subgroups will inherit any reweighting approved for their affiliated group; they can’t request reweighting independent of their affiliated group’s status.

For more information, please reference the MIPS EUC Exception section on the Quality Payment Program Exception Applications webpage and the updated 2025 MIPS Automatic EUC Policy Fact Sheet [pdf] on the QPP Resource Library.