Learn About MIPS
Reporting Requirement
Scoring Logic
Quality
PI
IA
Cost
Summary
PI Scoring Logic
MIPS eligible clinicians MUST use EHR technology certified to ONC Certification Criteria for Health IT necessary to meet the CEHRT definition.
Each measure is scored based on the MIPS eligible clinician’s performance for that measure, except for the measures which require a Yes/No attestation.
For 2026, CMS did not change the base scoring structure for the PI category in 2026—the objectives, required measures, and max points remain the same, with one important addition:
NEW for 2026
- TEFCA Public Health Reporting Bonus (5 points)
(Added under the Public Health & Clinical Data Exchange objective)
Scoring Logic for PI Category in the Performance Year 2026
Objective |
Measure |
Max Points |
Electronic Prescribing |
e-Prescribing |
10 points |
Bonus: Query of PDMP (Prescription Drug Monitoring Program) |
10 points |
|
Health Information Exchange (HIE) |
Support Electronic Referral Loops by Sending Health Information |
20 points |
Support Electronic Referral Loops by Receiving & Reconciling Health Information; OR |
20 points |
|
Health Information Exchange (alternative) |
HIE Bi-Directional Exchange (meets full HIE requirement if selected); OR |
40 points |
Health Information Exchange (New Optional Alternative) |
NEW: Enabling Exchange under TEFCA (substitutes for HIE measures) |
40 points |
Clinician to Patient Exchange |
Provide Patients Electronic Access to Their Health Information |
40 points |
Public Health & Clinical Data Exchange |
Report the following 2 measures: |
10 points |
|
Report any one of the following: |
5 points (bonus) |
|
|
NEW BONUS (2026): Public Health Reporting Using TEFCA |
5 points (bonus) |
Notes: The Security Risk Analysis and the SAFER Guides measure are required, but will not be scored.