On November 10, 2021, the Centers for Medicare and Medicaid Services announced they will apply the MIPS Automatic Extreme and Uncontrollable Circumstances Policy for the 2021 Performance Year. In this article, I will answer the following questions: Who does the MIPS Automatic Extreme and Uncontrollable Circumstances Policy apply to? Who does the MIPS Automatic Extreme and Uncontrollable Circumstances Policy not apply to? Do I have to submit an application for the MIPS Automatic Extreme and Uncontrollable Circumstances Policy? What if I submit data to CMS on Quality Measures and Improvement Activities for the 2021 MIPS Performance Period; will I still