QPP Participation Status Tool Now Includes Fourth Snapshot of 2019 Full-TIN APM Data

The Centers for Medicare & Medicaid Services (CMS) updated its Quality Payment Program (QPP) Participation Status Tool based on the fourth snapshot of data from full Taxpayer Identification Number (TIN) Alternative Payment Models (APMs).

The fourth snapshot is only for full-TIN APMs who joined after August 31 to benefit from the APM Scoring Standard for the Merit-based Incentive Payment System (MIPS). Examples of full-TIN APMs include the Medicare Shared Savings Program and the Bundled Payments for Care Improvement Advanced Model (BPCI Advanced).

This snapshot includes data from Medicare Part B claims with dates of service between January 1, 2019 and December 31, 2019. Unlike the other snapshot periods, these tool updates only include 2019 MIPS APM status and do not include Qualifying APM Participant (QP) status.

To learn more about how CMS determines MIPS APM status for each snapshot, please view the QP Methodology Fact Sheet in the 2019 Learning Resources for QP Status and APM Incentive Payment (zip).

What is the APM Scoring Standard?

The APM Scoring Standard accounts for activities already required by the APM, which changes the MIPS performance category weighting and reporting requirements from the general MIPS scoring standard. Eligible clinicians under an APM Entity that is both an Advanced and MIPS APM that are not QPs or Partial QPs are scored under this standard.

The performance category weights to calculate the MIPS Final Score under the APM Scoring Standard for the 2019 performance period are as follows:

Quality: 50%
Improvement Activities: 20%
Promoting Interoperability: 30%
Cost: 0%

How Do I Check My MIPS APM Status?

To view your MIPS APM status at the individual level:

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

To check your group’s 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 TIN affiliated with your group.
Access the details screen to view the eligibility status of every clinician based on their NPI.

Additional Resources:

Questions?

Contact the Quality Payment Program at QPP@cms.hhs.gov or 1-866-288-8292. To receive assistance more quickly, consider calling during non-peak hours—before 10 a.m. and after 2 p.m. ET.

Customers who are hearing impaired can dial 711 to be connected to a TRS Communications Assistant.

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