MACRA implementation timeline and key dates you should be aware of

While 2017 and 2018 are transition years for the Medicare Access and CHIP Reauthorization Act (MACRA), there are several key dates of which to be aware. Adequately planning and preparation will offer you the best chance of success in 2019 when benchmarks and reporting begin to substantially affect your reimbursements. Here’s a timeline of important dates to keep in mind:


  • January 1: Start of the 2017 performance year
  • March 31: 1st snapshot of APM participation list for 2017 performance period
  • June 20: Last day to register to participate in MIPS for the 2017 performance period
  • June 30: 2nd snapshot of APM participation list for 2017 performance period
  • August 31: 3rd snapshot of APM participation list for 2017 performance period
  • October 2: Last day to begin collecting MIPS data for any group or individual clinicians seeking to report a minimum of one continuous 90-day period for 2017
  • November 1: Performance benchmarks for the 2018 MIPS performance period announced
  • Late 2017: Clinicians and groups meeting the 2018 performance year low-volume threshold MIPS exception or non-patient facing status are notified based on their Medicare services provided during the 2017 calendar year


  • January 1: Start of 2018 performance year
  • January 2 – March 31: Window for submitting 2017 MIPS and Advanced APM data for 2017
  • Spring: Final 2018 payment adjustments go into effect for all clinicians and groups under the final year of PQRS, EHR Incentive Program and Value-Based Payment Modifier based on 2016 performance
  • Estimated July 31: CMS provides 2017 MIPS performance period feedback and 2019 payment adjustment determinations to groups and individual clinicians
  • July 31 – September 30: Window for requesting a targeted review of a 2019 MIPS payment adjustment determination based on 2017 performance feedback


  • Spring: First MIPS payment adjustments of +/- 4% based on 2017 performance begin to be factored into Medicare Part B payments. Advanced APM Qualifying Participants will receive a lump sum payment equal to 5% of the estimated aggregate payment amounts for Medicare Part B covered professional services provided during the 2018 calendar year.


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