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We are proposing that billing practitioners who are not MIPS eligible clinicians (as defined at 414.1305) would not be required to report the MVP in order to furnish and bill for APCM services

Sections 425.664 through 425.669 are added and reserved

For example, there are specialties or clinical topics where clinically coherent measure concepts have not yet been identified or where impact in terms of cost, clinician, or patient coverage is lower than that of other measure concepts that were prioritized for development

As requested by interested parties in comments on the initial Medicare Part D Drug Inflation Rebate Guidance, the repository could allow covered entities to submit these data directly to CMS (or a contractor), rather than through claims that dispensers submit to Part D plan sponsors