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MVP: Podiatry

Most applicable medical specialty(s): Podiatry, Nonphysician Practitioners, Nurse Practitioners, Physician Assistants

The Podiatry MVP assesses meaningful outcomes in foot and ankle care for patients with chronic conditions, wound/ulcers, and general care for the podiatry patient.

Quality

To fulfill quality requirements:

  1. You must report 4 quality measures from the list below
  2. (except for clinicians in a small practice – see # 3 below)
  3. At least 1 measure must be an outcome measure.
    • If no outcome measures are available, you may report a high priority measure.
  4. If you are part of a small practice (i.e., 15 or fewer clinicians) reporting quality measures through Medicare Part B claims, you don’t need to report additional measures beyond the Medicare Part B claims measures available in this MVP. Reporting all Medicare Part B claims measures in this MVP will fulfill your quality reporting requirements.
  5. You must collect data for each measure for the 12-month performance period of the associated performance year (e.g., January 1, 2026 – December 31, 2026).

TIP: For small practices (participating at the individual, group or subgroup level) reporting Medicare Part B claims measures: To meet data completeness requirements, you’ll need to start reporting the Medicare Part B claims measures in your selected MVP in January 2026, prior to the MVP registration period.

TIP: Make sure that you select measures that are appropriate to your patient population. Measures that don’t meet case minimum or data completeness criteria will earn zero points.ate to your patient population. Measures that don’t meet case minimum or data completeness criteria will earn zero points.

Quality Measures (MVP ID: M1502)

IDTitleSpecs
126Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy – Neurological EvaluationDetails
127Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention – Evaluation of FootwearDetails
155Falls: Plan of CareDetails
226Preventive Care and Screening: Tobacco Use: Screening and Cessation InterventionDetails
317Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up DocumentedDetails
358Patient-Centered Surgical Risk Assessment and CommunicationDetails
374Closing the Referral Loop: Receipt of Specialist ReportDetails
MEX5Hammer Toe OutcomeNot supported by MIPSpro*
REGCLR1Heel Pain Treatment Outcomes for AdultsNot supported by MIPSpro*
REGCLR3Bunion Outcome – Adult and AdolescentNot supported by MIPSpro*
REGCLR5Offloading with Remote MonitoringNot supported by MIPSpro*
REGCLR8Monitor and Improve Treatment Outcomes in Chronic Wound HealingNot supported by MIPSpro*
USWR32Adequate Compression at each visit for Patients with Venous Leg Ulcers (VLUs), appropriate to the arterial supplyNot supported by MIPSpro*
USWR33Adequate Compression at each visit for Patients with Venous Leg Ulcers (VLUs) appropriate to the arterial supplyNot supported by MIPSpro*
USWR34Venous Leg Ulcer (VLU) Healing or ClosureNot supported by MIPSpro*
USWR35Adequate Off-loading of Diabetic Foot Ulcers performed at each visit, appropriate to location of ulcerNot supported by MIPSpro*

Improvement Activities

To fulfill improvement activity requirements:

1. You must report 1 improvement activity from the list below.

Improvement activities no longer have assigned weights.

IDTitle
IA_BE_6Regularly Assess Patient Experience of Care and Follow Up on Findings
IA_BMH_12Promoting Clinician Well-Being
IA_CC_19Tracking of clinician’s relationship to and responsibility for a patient by reporting MACRA patient relationship codes.
 IA_EPA_7Enhance Engagement of Medicaid and Other Underserved Populations
IA_MVPPractice-Wide Quality Improvement in MIPS Value Pathways
IA_PCMHElectronic submission of Patient Centered Medical Home accreditation
IA_PM_14Implementation of methodologies for improvements in longitudinal care management for high risk patients
 IA_PSPA_18Measurement and improvement at the practice and panel level
IA_PSPA_22CDC Training on CDC’s Guideline for Prescribing Opioids for Chronic Pain
IA_PSPA_23Completion of CDC Training on Antibiotic Stewardship
IA_PSPA_7Use of QCDR data for ongoing practice assessment and improvements

Cost

Important information to consider:

  1. You don’t have to submit any data for this performance category. We’ll use Medicare claims data to calculate your cost measure performance.
    • You don’t select cost measures during MVP registration. CMS will calculate your performance on all the cost measures included in the MVP based on available Medicare claims data.
  2. You’ll only be scored on the cost measures in this MVP for which you meet or exceed the established case minimum.

Cost Measures (MVP ID: M1502)

IDTitleSpecs
MSPB_1Medicare Spending Per Beneficiary (MSPB) ClinicianDetails

Foundational Layer – Promoting Interoperability

To fulfill Promoting Interoperability requirements:

  1. Submit the required Promoting Interoperability measures (the same as under traditional MIPS) listed below. Bonus points are available for reporting measures that aren’t required.
    • If you’re reporting as a subgroup, you’ll submit your affiliated group’s data for the Promoting Interoperability performance category.
  2. Review if you qualify for automatic reweighting of the Promoting Interoperability performance category based on your clinician type, special status, or an approved Promoting Interoperability Performance Category Hardship Exception Application.

Special Status for Automatic Reweighting:

  • Ambulatory Surgical Center (ASC)-based
  • Hospital-based
  • Non-patient facing
  • Small practice

Promoting Interoperability Performance Category Hardship Exception Qualifications:

  • Decertified EHR technology
  • Insufficient internet connectivity
  • Experience extreme and uncontrollable circumstances (e.g., disaster, practice closure, severe financial distress, vendor issues)
  • Lack control over availability of CEHRT (Certified Electronic Health Record Technology)

Note: Promoting Interoperability requirements are the same in MVPs as they are in traditional MIPS. Learn more about Promoting Interoperability requirements.

IDTitle
PI_EP_1e-Prescribing
PI_EP_2Query of the Prescription Drug
Monitoring Program (PDMP)
PI_EP_2_EX_1Query of the Prescription Drug Monitoring Program (PDMP)
PI_EP_2_EX_2Query of the Prescription Drug Monitoring Program (PDMP) Exclusion
PI_HIE_1Support Electronic Referral Loops By Sending Health Information
PI_HIE_4Support Electronic Referral Loops By Receiving and Reconciling Health Information
PI_HIE_5Health Information Exchange (HIE)
Bi-Directional Exchange
PI_HIE_6Enabling Exchange Under TEFCA
PI_INFBLO_1Actions to Limit or Restrict the Compatibility of CEHRT
 PI_LVITC_2Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
 PI_LVOTC_1Support Electronic Referral Loops By Sending Health Information Exclusion
PI_LVPP_1e-Prescribing Exclusion
PI_ONCACB_1ONC-ACB Surveillance Attestation
PI_ONCDIR_1ONC Direct Review Attestation
PI_PEA_1Provide Patients Electronic Access to
Their Health Information
PI_PHCDRR_1Immunization Registry Reporting
PI_PHCDRR_1_EX_1Immunization Registry Reporting Exclusion
PI_PHCDRR_1_EX_2Immunization Registry Reporting Exclusion
PI_PHCDRR_1_EX_3Immunization Registry Reporting Exclusion
PI_PHCDRR_1_PREImmunization Registry Reporting Active Engagement Level 1
PI_PHCDRR_1_PRODImmunization Registry Reporting Active Engagement Level 2
PI_PHCDRR_2Syndromic Surveillance Reporting
PI_PHCDRR_2_PRESyndromic Surveillance Reporting Active Engagement Level 1
PI_PHCDRR_2_PRODSyndromic Surveillance Reporting Active Engagement Level 2
PI_PHCDRR_3Electronic Case Reporting
PI_PHCDRR_3_EX_1Electronic Case Reporting Exclusion
PI_PHCDRR_3_EX_2Electronic Case Reporting Exclusion
PI_PHCDRR_3_EX_3Electronic Case Reporting Exclusion
PI_PHCDRR_3_PREElectronic Case Reporting Active Engagement Level 1
PI_PHCDRR_3_PRODElectronic Case Reporting Active Engagement Level 2
PI_PHCDRR_4Public Health Registry Reporting
PI_PHCDRR_4_PREPublic Health Registry Reporting Active Engagement Level 1
PI_PHCDRR_4_PRODPublic Health Registry Reporting Active Engagement Level 2
PI_PHCDRR_5Clinical Data Registry Reporting
PI_PHCDRR_5_PREClinical Data Registry Reporting Active Engagement Level 1
PI_PHCDRR_5_PRODClinical Data Registry Reporting Active Engagement Level 2
PI_PHCDRR_6Public Health Reporting Using Trusted Exchange Framework and Common AgreementTM (TEFCATM)
PI_PPHI_1Security Risk Analysis
PI_PPHI_2High Priority Practices Safety Assurance Factors for EHR Resilience (SAFER) Guide

Foundational Layer – Population Health

  • You won’t be required to select a population health measure during registration. You don’t have to submit any data for this measure, we will calculate all available population health measures for you, using administrative claims data.
  • This measure will be excluded if you can’t be scored on either (the measure doesn’t have a benchmark or you don’t meet the case minimum).
  • Population health isn’t a new performance category. The population health measures within the MVP will be scored as part of the quality performance category provided you meet the case minimum.
  • Subgroups will be evaluated at the affiliated group level.

Improvement Activities (All MVPs)

IDTitleSpecs
479 
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for the Merit-Based Incentive Payment System (MIPS) GroupsDetails
484 
Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic ConditionsDetails

Begin your MVP journey today