QPP Participation Status Tool Now Includes First Snapshot of 2019 Qualifying APM Participant and MIPS APMs Data

The Centers for Medicare & Medicaid Services (CMS) updated its Quality Payment Program Participation Status Tool based on the first snapshot of data from Alternative Payment Model (APM) entities. The tool includes 2019 Qualifying APM Participant (QP) and participation status in an Alternative Payment Model that qualifies for the APM scoring standard.

To learn more about how CMS determines QP and APM participation status for each snapshot, please view the QP Methodology Fact Sheet.

What Does QP Status Mean?

If you qualify as a QP, this means you are:

Eligible for the 5% APM incentive bonus, and
Exempt from participating in MIPS.

How Do I Check My QP or APM Participation Status?

To view your QP or APM participation status at the individual level:

Go to: https://qpp.cms.gov/participation-lookup
Enter your 10-digit National Provider Identifier (NPI)

To check your 2019 eligibility at the APM entity level:

Log into the CMS Quality Payment Program website. Learn how by downloading the QPP Access User Guide.
Browse to the Taxpayer Identification Number(s) affiliated with your entity
Access the details screen to view the eligibility status of every clinician based on their NPI

Additional Resources

For a comprehensive list of APMs, visit the QPP Resource Library. To call or email the Quality Payment Program Service Center:

Phone: 1-866-288-8292 (TTY: 1-877-715-6222)
Email: QPP@CMS.HHS.GOV

The 2020 MIPS Self-Nomination Period is Now Open

As of July 1^st, 2019, the 2020 Merit-Based Incentive Payment System (MIPS) Performance Period Self-Nomination Period for Qualified Clinical Data Registries (QCDRs) and Qualified Registries is now open. Qualified Registries and QCDRs are CMS-approved vendors that collect clinical data on behalf of clinicians for data submission. Please note that eligible clinicians wishing to report for the 2020 MIPS performance period via the Qualified Registry or QCDR reporting mechanism do NOT need to self-nominate. Only entities wishing to participate (and who meet the requirements) as a Qualified Registry and/or a QCDR need to complete the self-nomination form.

To complete the self-nomination form, please navigate to the Quality Payment Program portal Self-Nomination tool by logging in at qpp.cms.gov. You’ll need to ensure a member of your organization has a Quality Payment Program (QPP) account. There are two self-nomination form types available to Qualified Registries and QCDRs: the 2020 Self-Nomination Form, which should be completed by new vendors or existing-approved vendors who have had remedial action taken against them; and the 2020 Simplified Self-Nomination form, which is only available to existing approved QCDRs and Qualified Registries in good program standing.

For More Information

Visit the Quality Payment Program Resource Library to download the 2020 Self-Nomination Toolkit for QCDRs & Qualified Registries and learn more about the QCDR and Qualified Registry self-nomination process for vendors. If you need help creating or accessing your QPP account, download the QPP Access User Guide for more information.

Questions?

Please direct any questions related to the self-nomination process and requirements to the Quality Payment Program: