Even better news in this CMS release. Physicians in MIPS who practice in the hurricane affected states (Texas, Florida, South Carolina & Georgia), the US Virgin Islands and Puerto Rico, plus areas of California affected by wildfires, are not going to receive negative payment adjustments in 2019, even if they don't submit MIPS data. If I'm reading this right, you don't even need to apply for it:

Quote
Under this policy, if you?re affected by Hurricanes Harvey, Irma, or Maria or the Northern California Wildfires, we?ve tried to lessen your burden by not requiring you to submit an application to reweight the performance categories. We?ll be able to automatically identify you. If you?re an affected MIPS eligible clinician, you?ll automatically receive a neutral MIPS payment adjustment

(Incredibly, they failed to include koby's exception)

John
Internal Medicine