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Quality Payment Program (QPP) Support Center

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Medicare Shared Savings Program and Quality Payment Program Interactions Guide Now Available for Performance Years During 2019

The interactions guide provides:
  • An overview of 2019 Shared Savings Program participation tracks and whether they meet the criteria of a Merit-based Incentive Payment System (MIPS) Alternative Payment Model (APM) or Advanced APM;
  • An explanation of the APM scoring standard and eligibility for eligible clinicians (ECs) participating in a Shared Savings Program Accountable Care Organization (ACO);
  • Details on how ECs participating in an ACO are scored under MIPS if their Shared Savings Program participation agreement is terminated during the performance year; and
  • A description of how CMS identifies Qualifying APM Participants (QPs) for ECs participating in an ACO meeting the Advanced APM criteria.
CMS encourages Shared Savings Program ACOs and their participants to review this guide.