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Quality Payment Program (QPP) Support Center

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Quality Payment Program Look-Up Tool Now Includes 2018 MIPS Eligibility, Group Eligibility, and Predictive Qualifying APM Status


The Centers for Medicare & Medicaid Services (CMS) updated its Quality Payment Program Look-Up Tool to allow clinicians to view 2018 Merit-based Incentive Payment System (MIPS) eligibility and Alternative Payment Model (APM) Qualifying APM Participant (QP) data—in one place.
Enter an National Provider Identifier (NPI) in the tool to find out whether the clinician needs to participate in MIPS in 2018 and their Predictive QP status. The Predictive QP status is based on calculations from claims with dates of service between 1/1/17 and 8/31/17. To learn more about how CMS determined Predictive QP status, please view the Predictive QP Methodology Fact Sheet.

To check a group’s 2018 QPP eligibility:
  • Log into the CMS Quality Payment Program website with your EIDM credentials
  • Browse to the Taxpayer Identification Number affiliated with your group
  • Access the details screen to view the eligibility status of every clinician based on their NPI
You can now download the list of all NPIs associated with your TIN. The downloaded file also includes eligibility information for each NPI. This enhancement was made in direct response to stakeholder requests for this helpful function.