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Quality Payment Program (QPP) Support Center

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Attention ACO Members: The QPP Participation Status Tool Has Been Updated

11/13/2018

The Centers for Medicare & Medicaid Services (CMS) recently updated its QPP Participation Status Tool based on calculations from the second snapshot of Medicare Part B claims data to calculate the Alternative Payment Model (APM) entities threshold scores. The second snapshot are for dates of participation between January 1 and June 30, 2018. To learn more about how CMS determines QP and MIPS APM status for each snapshot, please view the QP Methodology Fact Sheet. As a reminder, the tool includes 2018 Qualifying APM Participant (QP) and MIPS APM status
What Does MIPS APM Participation Mean?
If you are in participating in a MIPS APM you receive the benefit of being scored under the APM Scoring Standard. As a MIPS APM participant we recommend you check the QPP Participation Status Tool to see if you're eligible for MIPS in 2018.
 
How Do I Check My QPP or MIPS APM Status?
To view your QP or MIPS APM status as an individual go to QPP Participation Lookup web page and enter your 10-digit National Provider Identifier (NPI). To check your group's 2018 eligibility at the APM entity level:log into the CMS QPP website with your EIDM credentials, browse to the Taxpayer Identification Number affiliated with your group, and access the details screen to view the eligibility status of every clinician based on their NPI.
 
What APMs are Included in the QPP Participation Status Tool?
The updated QPP Participation Status Tool includes the following 2018 Advanced APMs and MIPS APMs:
  • Bundled Payments for Care Improvement Advanced Model (BPCI Advanced)
  • Comprehensive ESRD Care (CEC) Model (LDO arrangement)
  • Comprehensive ESRD Care (CEC) Model (non-LDO two-sided risk arrangement)
  • Comprehensive ESRD Care (CEC) Model (non-LDO one-sided risk arrangement)
  • Comprehensive Primary Care Plus (CPC+) Model
  • Medicare Accountable Care Organization (ACO) Track 1+ Model
  • Medicare Shared Savings Program Accountable Care Organizations - Track 1, 2, 3
  • Next Generation ACO Model
  • Oncology Care Model (OCM) (one-sided Risk Arrangement)
  • Oncology Care Model (OCM) (two-sided Risk Arrangement)
  • Vermont Medicare ACO Initiative (as part of the Vermont All-Payer ACO Model)
A comprehensive list of APMs is located in the QPP Resource Library