Quality

PI

IA

Cost

PI Measures

The 2026 Promoting Interoperability performance category has 4 objectives:

  • e-Prescribing
  • Health Information Exchange (HIE) or
    • Health Information Exchange (HIE) — Alternative (when applicable)
  • Provider to Patient Exchange
  • Public Health and Clinical Data Exchange

Providers need to collect data for all required measures from each of the four objectives (unless an exclusion is claimed).

For 2026 Promoting Interoperability category, eligible providers must fulfill below criterions to meet the CEHRT requirements:

  • MIPS eligible clinicians MUST use EHR technology certified to ONC Certification Criteria for Health IT necessary to meet the CEHRT definition.
  • The certified technology must support the specific PI measures and objectives reported, including required functionalities for:
    • e-prescribing
    • health information exchange
    • patient access
    • public health and clinical data reporting

Failure to use appropriate CEHRT for the reported measures will result in no score for the Promoting Interoperability category.

Objective Type
Exclusion Available
Exclusion Available

#PI_EP_1 e-Prescribing

Description:

At least one permissible prescription written by the MIPS eligible clinician is transmitted electronically using CEHRT.
  • Objective Name:

    Electronic Prescribing
  • Exclusion Available:

    Yes
  • Reporting Requirements:

    Numerator/ Denominator
  • Performance Score Weight:

    10

#PI_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)

Description:

"For at least one Schedule II opioid or Schedule III or IV drug electronically prescribed using CEHRT during the performance period, the MIPS eligible clinician uses data from CEHRT to conduct a query of a PDMP for prescription drug history."
  • Objective Name:

    Electronic Prescribing
  • Exclusion Available:

    Yes
  • Reporting Requirements:

    Yes/No Response
  • Performance Score Weight:

    10