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Quality Payment Program (QPP) Support Center

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Qualifying APM Participant Status Updated for Second Snapshot of 2019

10/18/2019

The Centers for Medicare & Medicaid Services (CMS) updated the QPP Participation Status tool based on the second snapshot of data from Alternative Payment Model (APM) entities. The second snapshot includes data from Medicare Part B claims with dates of service between January 1, 2019 and June 30, 2019

The tool includes 2019 Qualifying APM Participant (QP) and Merit-based Incentive Payment System (MIPS) APM participation status. Clinicians designated as a QP are eligible for the 5% APM incentive bonus and exempt from participating in MIPS.

To view your QP or APM participation status at the individual level, enter your 10 digit National Provider Identifier (NPI) into the QPP Participation Status Tool.

To check your 2019 eligibility at the APM entity level, log into the CMS QPP portal, browse to the Taxpayer Identification Number(s) affiliated with your entity, and access the details screen to view the eligibility status of every clinician based on their NPI.

For more information on APMs and lists of current APM participants, visit the QPP APM webpages. To learn more about how CMS determines QP and APM participation status for each snapshot, please view the QP Methodology Fact Sheet.