Quality Payment Program Look-Up Tool Now Includes 2018 MIPS Eligibility and Predictive Qualifying APM Participant Data

Today, 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. As you’ll see, the tool previously called the MIPS Participation Status Tool has been renamed the Quality Payment Program Participation Status Tool to reflect the improvements we’ve made.

Just enter your National Provider Identifier (NPI) in the tool to find out:

Whether you need to participate in MIPS in 2018
Your Predictive QP status

Note: 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.

Clinicians Can Also Check 2018 MIPS Clinician Eligibility at the Group Level and APM Predictive QP Status at the APM Entity level:

To check your 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

We are also pleased to announce that 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.

Questions?

Contact the Quality Payment Program Service Center by:

Email: QPP@cms.hhs.gov
Phone: 1-866-288-8292/TTY: 1-877-715-6222

Quality Payment Program Website Now Includes 2018 MIPS Measures and Activities

Visit the Quality Payment Program Website to View 2018 MIPS Measures and Activities

CMS has updated the “Explore Measures” section of the Quality Payment Program website for the 2018 performance period. The website now includes 2018 Merit-based Incentive Payment System (MIPS) measures and activities for its four performance categories:

Please note, the “Explore Measures” tool is only for informational and estimation purposes. It can’t be used to submit or attest to measures and activities.

For Developers

The Quality Payment Program Measures Data Repository has been updated to include the 2018 MIPS measures and activities. You’ll see a new folder for 2018 data, which contains the 2018 Quality measures, Improvement Activities, and Promoting Interoperability measures. It does not currently include QCDR measures, eMeasureUuids, or links to measure specifications. Visit the data repository to learn more and to view the updates.

For More Information

For additional details on the 2018 MIPS measures and activities, view the following resources: