QPP Participation Status Tool Now Includes Third Snapshot of 2019 Qualifying APM Participant and MIPS APMs Data
The Centers for Medicare & Medicaid Services (CMS) updated its Quality Payment Program Participation Status Lookup Tool based on the third snapshot of data from Alternative Payment Model (APM) entities.
The third snapshot includes data from Medicare Part B claims with dates of service between January 1, 2019 and August 31, 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 2019 QP Methodology Fact Sheet found in the 2019 QP Methodology Resources (zip).
What Does QP Status Mean?
If you qualify as a QP, this means you are:
How Do I Check My QP or APM Participation Status?
To view your QP or APM participation status at the individual level:
- Visit the Quality Payment Program Participation Status Lookup Tool.
- Enter your 10-digit National Provider Identifier (NPI).
To check your 2019 eligibility at the APM entity level:
- Log in to the CMS Quality Payment Program website. Learn how by downloading the QPP Access User Guide (zip).
- 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.
Contact the Quality Payment Program at QPP@cms.hhs.gov or 1-866-288-8292 (TTY: 1-877-715-6222). To receive assistance more quickly, consider calling during non-peak hours—before 10 AM and after 2 PM ET.
Join CMS for a QCDR Measure Development Workgroup to Learn More about 2021 QCDR Measure Development, Processes, and Expectations
On Monday, January 13, 2020 at 1:30 PM ET, CMS will host a webinar that will provide an overview of QCDR measure development, processes, expectations, and will include an overview of policies that were newly finalized in the CY 2020 PFS Final Rule. This webinar is intended for existing and new QCDR candidates who are seeking to enhance their existing knowledge base with additional information in regards to the development and testing of QCDR measures for future MIPS performance periods. Please know that this webinar will focus on future measure development, as CMS will not consider or accept additional QCDR measures for the 2020 performance period of the MIPS program.
Webinar Details
Title: QCDR Measure Development Workgroup
Date: Monday, January 13, 2020
Time: 1:30-3:30 PM ET
Description: On Monday, January 13, 2020 at 1:30 PM ET, the Centers for Medicare & Medicaid Services (CMS) will host a webinar that will provide an overview of the development, criteria, and evaluation of QCDR measures. Among the topics to be presented during the webinar, CMS will provide an overview of QCDR measures and new QCDR measure requirements for the 2021 MIPS performance period.
Audience: Current and Prospective Qualified Clinical Data Registries
Event Registration: https://attendee.gotowebinar.
The audio portion of this webinar will be broadcast through the web. You can listen to the presentation through your computer speakers. If you cannot hear audio through your computer speakers, please contact CMSQualityTeam@ketchum.com. Phone lines will be available for the Q&A portion of the webinar.
For More Information
Visit qpp.cms.gov to learn more about QCDRs.
Now Available: 2020 CMS-Approved Qualified Registries and Qualified Clinical Data Registries (QCDRs)
2020 Qualified Registries and QCDRs Qualified Postings Now Available on CMS.gov
On December 20, 2019, CMS posted the CY 2020 approved Qualified Registries and Qualified Clinical Data Registries (QCDRs) qualified postings:
- 2020 Qualified Registries Qualified Posting – A Qualified Registry is a CMS-approved entity that collects clinical data from an individual MIPS-eligible clinician, group, and/or virtual group and submits the data to CMS on their behalf for purposes of MIPS. These approved Qualified Registries will be able to report data (measures and/or activities) for the Quality, Advancing Care Information, and Improvement Activities performance categories for the 2020 performance period.
- 2020 Qualified Clinical Data Registries (QCDRs) Qualified Posting – A QCDR is also a CMS-approved entity that collects clinical data from an individual MIPS-eligible clinician, group, and/or virtual group and submits the data to CMS on their behalf for purposes of MIPS. A QCDR is defined as an entity that demonstrates clinical expertise in medicine and quality measurement development that collect medical or clinical data on behalf of MIPS eligible clinicians to track patients and diseases and foster improvement in the quality of care provided to patients. QCDR reporting is different from a Qualified Registry as it is not limited to quality measures within MIPS, QCDRs may also report on approved QCDR measures.
For More Information
- Visit qpp.cms.gov to check your participation status, explore measures, and to review guidance on MIPS, APMs, what to report, and more.
- Go to the Quality Payment Program Resource Library on CMS.gov to review new and existing Quality Payment Program resources.
Questions?
Contact the Quality Payment Program at QPP@cms.hhs.gov or 1-866-288-8292 (TTY: 1-877-715-6222).
Reminder: Applications for the 2019 Promoting Interoperability Hardship and Extreme and Uncontrollable Circumstances Exceptions are Due December 31
If you are interested in applying for a Promoting Interoperability Hardship Exception or Extreme and Uncontrollable Circumstances Exception for the 2019 Performance Year of MIPS, you must submit your application to CMS by Tuesday, December 31, 2019.
Who is Eligible for a Promoting Interoperability Hardship Exception?
MIPS eligible clinicians, groups, and virtual groups may qualify for a re-weighting of the Promoting Interoperability performance category to 0% if they:
- Are a small practice;
- Have decertified EHR technology;
- Have insufficient Internet connectivity;
- Face extreme and uncontrollable circumstances such as disaster, practice closure, severe financial distress, or vendor issues; or
- Lack control over the availability of CEHRT
Note: If you’re already exempt from reporting Promoting Interoperability data, you don’t need to apply.
Who is Eligible for an Extreme and Uncontrollable Circumstances Exception?
MIPS eligible clinicians, groups, and virtual groups may qualify for a re-weighting of any or all MIPS performance categories to 0% if they are affected by extreme and uncontrollable circumstances extending beyond the Promoting Interoperability performance category. These circumstances must render them unable to:
- Collect information necessary to submit for a performance category; or
- Submit information that would be used to score a performance category for an extended period of time.
Note: Individual MIPS eligible clinicians (not groups or virtual groups) will receive the exception automatically if they are located in a CMS-designated region that has been affected by an extreme and uncontrollable event during the 2019 MIPS Performance Year. These clinicians will not need to apply for the exception.
How do I Know if I’m Approved?
If you submit an application for either of the exceptions, you will be notified by email if your request was approved or denied. If approved, this will also be added to your eligibility profile on the QPP Participation Status Tool, but may not appear in the tool until the submission window is open in 2020.
For More Information
- Visit the Promoting Interoperability Hardship Exception and Extreme and Uncontrollable Circumstances Exception QPP webpages for more information and links to each application.
- Download the 2019 Exceptions FAQs to learn more about these exceptions.
- Check out the 2019 MIPS Automatic Extreme and Uncontrollable Circumstances Policy Fact Sheet to learn more about who automatically receives the exception.
- Contact the Quality Payment Program at QPP@cms.hhs.gov or 1-866-288-8292 (TTY: 1-877-715-6222). To receive assistance more quickly, consider calling during non-peak hours—before 10 AM and after 2 PM ET.
Reminder: Virtual Groups Election Period for MIPS 2020 Performance Period Ends December 31st
If you’re interested in forming a virtual group for the 2020 Merit-based Incentive Payment System (MIPS) performance year, you must follow the election process and submit your election to CMS via e-mail by Tuesday, December 31, 2019. Details about virtual groups and the election process are available in this toolkit.
What is a Virtual Group?
A virtual group is a combination of two or more Taxpayer Identification Numbers (TINs) assigned to:
- One or more solo practitioners (who are MIPS eligible clinicians); or
- One or more groups consisting of 10 or fewer clinicians (including at least 1 MIPS eligible clinician); or
- Both (solo practitioners and groups of 10 or fewer clinicians) that elect to form a virtual group for a performance period for a year
What is the Election Process?
There is a two-stage election process for forming a virtual group:
Stage 1 (optional)
- Contact your Quality Payment Program Technical Assistance organization for information regarding TIN size to help you determine if you meet the TIN size criteria to join or form a virtual group.
Stage 2 (required)
As part of Stage 2 of the election process, you must:
- Have a formal written agreement.
- Name an official virtual group representative.
- Submit the virtual group’s election via e-mail to CMS at MIPS_VirtualGroups@cms.hhs.gov by Tuesday, December 31, 2019.
- Determine group size and low-volume threshold.
Download the 2020 Virtual Groups Toolkit to learn more about the election process and how to participate in MIPS as a virtual group in 2020.
Need Help?
- Contact the Quality Payment Program by:
- Email: QPP@cms.hhs.gov or
- Phone: 1-866-288-8292/ TTY: 1-877-715-6222; to receive assistance more quickly, consider calling during non-peak hours – from 8:00 am to 10:00 am, and 2:00 pm to 8:00 pm Eastern Standard Time (EST).
- Clinicians in small practices (including those in rural locations), health professional shortage areas, and medically underserved areas may request technical assistance from on-the-ground organizations that can provide no-cost support. To learn more about this support, or to connect with your local technical assistance organization, we encourage you to visit our Small, Underserved, and Rural Practices page on the Quality Payment Program website.
- Visit Help and Support for additional information and resources.
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