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Quality Payment Program (QPP) Support Center

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Quality Payment Program Website Now Offers 2018 MIPS Clinician Eligibility at the Group Level


Eligible clinicians can now log in to the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program website to check your group's 2018 eligibility for the Merit-based Incentive Payment System (MIPS).
After logging into the feature using your EIDM credentials, browse to the Taxpayer Identification Number (TIN) affiliated with your group, and you will be able to click into a details screen to see the eligibility status of every clinician based on their National Provider Identifier (NPI) and find out whether they need to participate during the 2018 performance year for MIPS.  If you don't have an EIDM account, follow the instructions in the Enterprise Identity Management (EIDM) User Guide.
CMS changed the eligibility threshold for 2018, so clinicians that were required to participate in 2017 may not be eligible in 2018. Clinicians and groups are excluded from MIPS in 2018 if they billed $90,000 or less in Medicare Part B allowed charges for covered professional services under the Physician Fee Schedule (PFS) OR furnished covered professional services under the PFS to 200 or fewer Medicare Part B-enrolled beneficiaries.
Find out whether the clinicians in your group are eligible for MIPS today. And remember you can also use the MIPS Participation Lookup Tool to find out whether individual clinicians are eligible for the 2018 performance year without needing to login to the feature.