The MIPS Extreme and Uncontrollable Circumstances Exception and MIPS Promoting Interoperability Performance Category Hardship Exception applications are now open for the 2022 performance year. Applications can be submitted until Dec. 31. MIPS Extreme and Uncontrollable Circumstances Exception Application Merit-based Incentive Payment System (MIPS) eligible clinicians, groups, and virtual groups may apply to reweight any or all MIPS performance categories if they’ve been affected by extreme and uncontrollable circumstances. Extreme and uncontrollable circumstances are defined as rare events entirely outside of your control and the control of the facility in which you practice. These circumstances must: Cause you to be unable to collect information necessary to submit for a MIPS performance category; Cause you to be unable to submit information that would be used to score a MIPS performance category for an… . . . read more.