The Centers for Medicare & Medicaid Services (CMS) is extending to certain facilities in areas impacted by Hurricane Maria exceptions to quality reporting and value-based purchasing program requirements. These providers will be granted exceptions without having to submit an Extraordinary Circumstances Exceptions (ECE) request if they are located in one of the Puerto Rico municipios or U.S. Virgin Islands county-equivalents which have been designated by the Federal Emergency Management Agency (FEMA) as a major disaster municipio or county-equivalent. The scope and duration of the exception under each Medicare quality reporting program is described in the memo posted on 9-25-17, however, all of the exceptions are being granted to assist these providers while they direct their resources toward caring for their patients and repairing structural damages to facilities. Additional details and materials are available on the CMS Hurricanes webpage. Please check back frequently for updates.