Please Note: 
These measure specifications documents (including measure methodology as described in the Cost Measure Information Forms [MIFs] and accompanying codes and logic in the Measure Codes List files) are posted as part of documentation for measures included in MIPS for Performance Year (PY) 2026.

Routine maintenance is conducted for cost measures on an annual or semi-annual basis. As such, documentation may be updated periodically to reflect nonsubstantive code updates made to the cost measures during routine maintenance, such as those made to reflect newly added or revised codes. Please refer back to the QPP Resource Library for documentation reflecting maintenance updates.

Maintenance Notes:
This ZIP file contains updated documents that have been revised to reflect routine maintenance updates to PY2026 cost measures. These updates include edits to reflect newly added or modified codes in line with current measure specifications, or minor updates to ensure currency. 