Webinar: Medicaid in Missouri: Back to Basics

Date: January 15, 2021

Time: 1:00 PM CT


Across the country, and especially in Missouri, the Medicaid program has received more attention than ever. With the recent passage of Medicaid expansion in Missouri and other states, the COVID-19 pandemic’s impact on the health and economic stability of the nation, and the pending Supreme Court case that could overturn parts or all of the Affordable Care Act, it has never been more imperative to recognize the importance of Medicaid.

Join Missouri Foundation for Health for a brief overview of Missouri’s Medicaid program, MO HealthNet, as well as information on the impacts of the COVID-19 pandemic, the status of children’s health coverage, and the anticipated impact of Medicaid expansion in Missouri. 

Check out the Missouri Medicaid Basics 2020 publication or At-a-Glance factsheet for a summary before the event.

Webinar: Demystifying the Immigration Process

Date: January 28, 2021

Time: 1:30 – 3:00 PM CT


Join MPCA as guest presenters, Robert Aronson and Kayla Hoel of Fredrikson & Byron, P.A., present a fast paced and engaging program that will include a dash of humor on how the immigration puzzle can be put together in a highly beneficial manner to your recruitment efforts!

Our immigration laws and policies contain certain very desirable provisions intended to provide rural healthcare facilities, FQHC’s, and other healthcare employers experiencing recruitment challenges with the ability to recruit International Physicians. Yet, many employers shy away from considering International Physicians owing to the perceived complexity, expense, and uncertainty with U.S. immigration. This program is intended to demystify this whole immigration process and to provide attendees with some meaningful insights and pointers not solely on qualifying International Physicians for immigration status, but how immigration can actually assist in your recruitment efforts.

What Businesses & Individuals Need to Know About the Latest COVID-19 Stimulus Bill – Encore Presentation

Date: December 31, 2020

Time: 10:00 AM CT


Congress recently passed another COVID-19 emergency relief package as part of an omnibus spending bill. Join BKD as they discuss the tax provisions in this round of stimulus funding, including what’s new for the Paycheck Protection Program, extension and expansion of tax credits for 2021, and other tax-related legislative developments that businesses and individuals should be aware of.

2020 MIPS Extreme and Uncontrollable Circumstances Exception Application Deadline for COVID-19 has been Extended to February 1, 2021

To further support clinicians during the COVID-19 public health emergency, the Centers for Medicare & Medicaid Services (CMS) has extended the deadline for COVID-19 related 2020 Merit-based Incentive Payment System (MIPS) Extreme and Uncontrollable Circumstances Exception applications to February 1, 2021.

For the 2020 performance year, CMS will be using the Extreme and Uncontrollable Circumstances policy to allow MIPS eligible clinicians, groups, and virtual groups to submit an application requesting reweighting of one or more MIPS performance categories to 0% due to the current COVID-19 public health emergency.

If you have any concerns about the effect of the COVID-19 public health emergency on your performance data, including cost measures, for the 2020 performance period, submit an application now and be sure to cite COVID-19 as the reason for your application.

If you have an approved application, you can still receive scores for the Quality, Improvement Activities and Promoting Interoperability performance categories if you submit data. If the Cost performance category is included in your approved application, you will not be scored on cost measures even if other data are submitted. IMPORTANT: Individuals, groups and virtual groups can’t submit an application to override PY2020 data that has already been submitted. Any data submitted as an individual, group or virtual group before or after an application has been approved will be scored. Learn more in the 2020 Exceptions Applications Fact Sheet.

CMS has finalized that APM Entities may submit an application to reweight MIPS performance categories as a result of extreme and uncontrollable circumstances, such as the public health emergency resulting from the COVID-19 pandemic. Data submitted for an APM won’t override performance category reweighting from an approved application. Learn more in the 2021 Quality Payment Program Final Rule Overview Fact Sheet.

Note: The deadline to submit a MIPS Promoting Interoperability Performance Category Hardship Exception application or an Extreme and Uncontrollable Circumstances application not related to COVID-19 will remain December 31, 2020. Remember, if you’re already exempt from reporting Promoting Interoperability data, you don’t need to apply.

How do I Apply?

You must have a Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) account to complete and submit an exception application on behalf of yourself, or another MIPS eligible clinician, group, virtual group or APM Entity. For more information on HARP accounts, please refer to the Register for a HARP Account document in the QPP Access User Guide.

Once you register for a HARP account, sign in to qpp.cms.gov, select “Exceptions Applications” on the left-hand navigation, select “Add New Exception,” and select “Extreme and Uncontrollable Circumstances Exception” or “Promoting Interoperability Hardship Exception.”

How do I Know if I’m Approved?

If you submit an application for either of the exceptions, you will be notified by email if your request was approved or denied. If approved, this will also be added to your eligibility profile on the QPP Participation Status Tool, but may not appear in the tool until the submission window is open in 2021.

For More Information


Contact the QPP at 1-866-288-8292 or by e-mail at: QPP@cms.hhs.gov. To receive assistance more quickly, please consider calling during non-peak hours-before 10:00 a.m. and after 2:00 p.m. ET.

  • Customers who are hearing impaired can dial 711 to be connected to a TRS Communications Assistant.