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Now Available: Qualifying APM Participant Look-Up Tool

Oct 05, 2017

The Centers for Medicare and Medicaid Services (CMS) has announced the results of the first Qualifying APM Participant (QP) determinations based on eligible clinician participation in the 2017 Advanced Alternative Payment Models (APMs). They have released an interactive look-up tool where many 2017 Advanced APM participants can look up their QP status based on calculations from claims with dates of service between 1/1/17 and 3/31/17 for the first QP snapshot.

Under the Quality Payment Program, eligible clinicians who meet certain criteria are considered QPs in Advanced APMs, and are therefore excluded from the MIPS quality reporting program. QPs identified based on the 2017 performance year will  receive a 5 percent lump sum Medicare incentive payment in 2019. The tool will be updated soon with calculations from claims with dates of services between 1/1/17 and 6/30/17.

The Methodology Fact Sheet is a resource to understand how CMS determines QP Status. In addition, the supplemental service payments fact sheet, which reflects the supplemental service payments included in the APM Incentive Payment calculations, is now available.