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CMS Releases All-Payer Guidance; Schedules Webinar on MIPS Group Participation


The Centers for Medicare & Medicaid Services (CMS) is collecting information and documentation to determine whether payment arrangements qualify as Other Payer Advanced Alternative Payment Models (APMs) under the Quality Payment Program (QPP).

Payers with commercial payment arrangements may submit Other Payer Advanced APM determination requests for those payment arrangements. CMS has released a document to guide payers through the All Payer Submission form for ease of submission and to facilitate accurate determinations by CMS. Commercial payment arrangements must be submitted by June 1, 2019 to be eligible for the 2020 Qualifying APM Participant (QP) Performance Period. For the 2020 QP Performance Period, payers may submit requests until June 1, 2019.

Please note that the submission through the Other Payer Advanced APM determination process is separate from the process of Medicare Health Plans (including Medicare Advantage plans) payment arrangements. The Medicare Health Plans application is occurring now through the Health Plan Management System (HPMS) bidding process with a due date the first week of June. The Other Payer Advanced APM determinations is occurring now through the Salesforce Portal ( with a due date of June 1, 2019.
Join CMS on May 16 for the MIPS Group Participation in 2019 (Year 3) Webinar
CMS is hosting a webinar on Thursday, May 16 at 1:00 PM EDT to provide an overview of Group Participation in the Merit-based Incentive Payment System (MIPS) for the 2019 performance period.
During the webinar, CMS subject matter experts will discuss the following:
  • Group participation basics
  • Eligibility and registration
  • Data collection and submission
  • Reporting requirements
  • Payment adjustments
  • Resources and technical assistance
CMS will answer questions from attendees at the end of the webinar as time permits.

Register to attend the webinar here.