MIPS Eligibility Checks: Why Your October Roster Needs a Second Look

Your MIPS roster may look different by October than it did in January. New hires, departures, and billing changes can all affect eligibility. CMS won't publish final 2026 determinations until December, but that doesn't mean you should wait. October is the ideal checkpoint to reconcile your clinician list, billing records, and reporting setup. This post walks through what October means for MIPS eligibility, why the TIN/NPI relationship matters more than a name on a directory, and how to build a tracker that preserves the reasoning behind every decision. Check now, then recheck in December.