2026 MIPS Promoting Interoperability PI_HIE_5: Health Information Exchange (HIE) Bi-Directional Exchange
Written by Tucker Deyett, Dedicated Advisor, ReportingMD. Source data: CMS Quality Payment Program 2026 measure specifications and benchmark files.
Objective: Health Information Exchange Required
At a glance
PI_HIE_5, Health Information Exchange
(HIE) Bi-Directional Exchange, is a 2026 Promoting Interoperability required measure under the Health Information Exchange objective, reported as a yes/no attestation.
Measure description
The MIPS eligible clinician or group must establish the technical capacity and workflows to engage in bi-directional exchange via an HIE for all patients seen by the eligible clinician and for any patient record stored or maintained in their EHR.
The MIPS eligible clinician or group must attest that they engage in bi-directional exchange with an HIE to support transitions of care.
Measure details
- Measure ID: PI_HIE_5
- Objective: Health Information Exchange
- Reporting category: Required
- Metric type: Yes/No attestation
- Required: Yes
- Bonus: No
- Substitutes: PI_HIE_1, PI_HIE_4, PI_HIE_6
- Programs: MSSP, Traditional MIPS, APP, APP Plus
- First performance year: 2021
MVPs that include this measure
Advancing Rheumatology Patient Care; Coordinating Stroke Care to Promote Prevention and Cultivate Positive Outcomes; Advancing Care for Heart Disease; Adopting Best Practices and Promoting Patient Safety within Emergency Medicine; Improving Care for Lower Extremity Joint Repair; Patient Safety and Support of Positive Experiences with Anesthesia; Advancing Cancer Care; Optimal Care for Kidney Health; Quality Care for Patients with Neurological Conditions; Value in Primary Care; Focusing on Women’s Health; Quality Care for the Treatment of Ear, Nose, and Throat Disorders; Prevention and Treatment of Infectious Disorders Including Hepatitis C and HIV; Quality Care in Mental Health and Substance Use Disorders; Rehabilitative Support for Musculoskeletal Care; Complete Ophthalmologic Care; Dermatological Care; Gastroenterology Care; Optimal Care for Patients with Urologic Conditions; Pulmonology Care; Surgical Care; Diagnostic Radiology; Interventional Radiology; Neuropsychology; Pathology; Podiatry; Vascular Surgery
Official CMS specification
Need help with PI_HIE_5?
ReportingMD is a CMS qualified registry and healthcare data pipe with a 100% submission rate since 2001. We review PI measure data and attestations with every client before submission. Talk to a ReportingMD advisor or browse the full 2026 MIPS directory.