---
kind: "section"
citation: "42 C.F.R. § 414.1318"
title: "42"
number: "414.1318"
heading: "Subgroups."
url: "https://uscodex.org/cfr/42/414.1318"
---

# §414.1318. Subgroups.

- (a) **Eligibility and special status—**
  - (1) **General.** Except as provided under [paragraph (a)(2)](#a-2) of this section and subject to [paragraph (a)(4)](#a-4) of this section, for a MIPS payment year, determinations of meeting the low-volume threshold criteria and special status for a subgroup is determined at the group level in accordance with §§ [414.1305](/cfr/42/414.1305.md) and [414.1310](/cfr/42/414.1310.md).
  - (2) **Exclusions.** An individual eligible clinician or group that elects to participate in MIPS as a MIPS eligible clinician in accordance with § [414.1310(b)(1)(iii)(A)](/cfr/42/414.1310.md?p=b-1-iii-A) or [(b)(2)](/cfr/42/414.1310.md?p=b-1-b-2) is not eligible to participate in a subgroup.
  - (3) **Single subgroup per eligible clinician.** An individual eligible clinician (as represented by a TIN-NPI combination) may register for no more than one subgroup within a group's TIN.
  - (4) **Subgroup determination period.** CMS will apply the low-volume threshold criteria for a subgroup as described under [paragraph (a)(1)](#a-1) of this section using information from the initial 12-month segment of the applicable MIPS determination period.
- (b) **Final score.** Except as provided under [§ 414.1317(b)](/cfr/42/414.1317.md?p=b) and [paragraph (b)(1)](#b-1) of this section, each MIPS eligible clinician in the subgroup receives a final score based on the subgroup's combined performance.
  - (1) CMS will not assign a final score for a subgroup that registers and does not submit data as a subgroup for the applicable performance period.
  - (2) [Reserved]
- (c) **Subgroup reporting requirements.** For individual eligible clinicians to participate in MIPS as a subgroup, all of the following requirements must be met:
  - (1) Individual eligible clinicians that elect to participate in MIPS as a subgroup must aggregate their quality and improvement activities performance data across the subgroup's identifier.
  - (2) Individual eligible clinicians that elect to participate in MIPS as a subgroup will have their performance assessed at the subgroup level across all the MIPS performance categories based on an MVP in accordance with [§ 414.1365](/cfr/42/414.1365.md). Subgroups that are MVP Participants must adhere to an election process described in [§ 414.1365(b)](/cfr/42/414.1365.md?p=b).

## Notes

### Amendments

[86 FR 65671, Nov. 19, 2021; as amended at 87 FR 70227, Nov. 18, 2022]

### Source

Source: 81 FR 77537, Nov. 4, 2016, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302, 1395hh, and 1395rr(b)(l).

### Source

Source: 55 FR 23441, June 8, 1990, unless otherwise noted.

### Amendments

[86 FR 65671, Nov. 19, 2021; as amended at 87 FR 70227, Nov. 18, 2022]