This guide outlines the reporting requirements for the Merit-based Incentive Payment System (MIPS) for the year 2026, specifically targeting registered dietitians and nutrition professionals. It details the necessity for eligible clinicians to report data across various performance categories, including quality, improvement activities, and promoting interoperability. The document explains the exceptions to these reporting requirements, such as special status or extreme circumstances. It also describes the calculation of the final MIPS score, which ranges from 0 to 100 points, and how this score influences payment adjustments. The guide emphasizes the importance of selecting appropriate MIPS Value Pathways (MVPs) that align with a clinician's specialty and outlines the streamlined reporting options available. Additionally, it provides information on the quality measures and improvement activities relevant to specific specialties, ensuring that clinicians are prepared for the transition from traditional MIPS to MVPs. The document serves as a comprehensive resource for understanding the evolving landscape of MIPS reporting.