QPP Participation Status Tool Now Includes Second 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 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.

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.

Learn More

For more information on APMs and lists of current APM participants, visit the QPP APM webpages.

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