Beginning with the 2024 Merit-Based Incentive Payment System (MIPS) Performance Period, physical therapists, occupational therapists, and speech-language pathologists that participate in the MIPS program are no longer automatically exempted from the promoting interoperability category. If you feel that you are unable to report the promoting interoperability category, you may submit a MIPS Promoting Interoperability Category Hardship Exception Application citing one of the reasons below: Since MIPS eligible clinicians must submit collected data for the required measures in each objective for the same 180 continuous days (or more) during the calendar year, you will want to submit your exception application as