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  • MIPS 2022—Key Dates for Performance Year 2022

    This content is excerpted from EyeNet’s MIPS 2022: A Primer and Reference; also see the Academy’s MIPS hub page.



    • Jan. 1: Start of 2022 MIPS performance year.
    • May 3: CMS started accepting applications for 1) extreme and uncontrollable circumstances exceptions and 2) hardship exception to PI performance category.
    • June 1: Deadline to select quality measures for data mapping.
    • June 15: Deadline to sign agreements for IRIS Registry–EHR integration (if not already integrated).
    • June 15: Deadline for IRIS Registry–EHR integrated users to report changes to their practice management system or EHR system, such as an upgrade, a change to their network server, a change to a cloud-based service, or a change to a new system.
    • Aug. 1: For new integrated users, or existing users with EHR changes, deadline to complete integration of your EHR system with the IRIS Registry for automated transmission of 2022 quality data.
    • Aug. 31: Deadline for submitting your improvement plan to the American Board of Ophthalmology for the MOC improvement activity (see
    • Sept. 30: Deadline to add new clinicians and new locations for practices reporting via IRIS Registry–EHR integration. If notification is not made by this deadline, data for new clinicians or new locations can’t be integrated into the dashboard for the 2022 MIPS performance year.
    • Oct. 3: Last day to start performance period for PI measures and improvement activities.
    • Oct. 31: Deadline for new IRIS Registry users to sign agreements to use the IRIS Registry for manual
    • reporting of improvement activities, PI measures, and quality measures.
    • Oct. 31: Last day to request IRIS Registry mapping refinements for selected quality measures.
    • Dec. 31: End of 2021 MIPS performance year.


    • Jan. 3: Application deadline for 1) extreme and uncontrollable circumstances (EUC) exceptions and 2) hardship exception to PI performance category.  (Note: CMS had initially set a Dec. 31, 2022 deadline, but has changed that to Jan. 2, 2023.) (Update: On Dec. 29, CMS announced that it was extending the EUC deadline to March 3 if you are citing the COVID-19 public health emergency as the triggering event.)
    • Jan. 31: Deadline to submit your 2022 IRIS Registry data release consent form.
    • Jan. 31: Deadline for IRIS Registry users to enter 2022 quality measure data, attest to PI measures, and attest to improvement activities.
    • Jan. 31: Last day to submit 2022 MIPS data and attestations to CMS via the IRIS Registry.
    • March 3: Application deadline for 1) extreme and uncontrollable circumstances (EUC) exceptions if you are citing the COVID-19 public health emergency as the triggering event. (Note: In the Dec. 29 notice announcing that the EUC had been extended to March 3, CMS noted that any EUC applications received between Jan. 3 and March 3 won't override any data that has been submitted.)
    • March 31: Last day to submit 2022 MIPS data if reporting directly to the CMS QPP attestation portal.
    • Summer: CMS will provide you with feedback based on your 2022 performance year data. If you find any scoring errors, you should request a targeted review.
    • Summer: Targeted review request submission period starts after release of feedback data and ends 60 days later.
    • Dec. 1: CMS must notify MIPS participants of their 2024 payment adjustment factor at least 30 days before the 2024 payment year.


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