Updated QPP Look-Up Tool from CMS

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Posted By: HHS/ONC/CMS Communications June 22, 2018

The Centers for Medicare & Medicaid Services (CMS) (@CMSGov) updated its Quality Payment Program Look-Up Tool to allow clinicians to view 2018 Merit-based Incentive Payment System (MIPS) eligibility and Alternative Payment Model (APM) Qualifying APM Participant (QP) data—in one place. As you’ll see, the tool previously called the MIPS Participation Status Tool has been renamed the Quality Payment Program Participation Status Tool to reflect the improvements we’ve made.

Just enter your National Provider Identifier (NPI) in the tool to find out:

  • Whether you need to participate in MIPS in 2018
  • Your Predictive QP status

Note: The Predictive QP status is based on calculations from claims with dates of service between 1/1/17 and 8/31/17. To learn more about how CMS determined Predictive QP status, please view the Predictive QP Methodology Fact Sheet.

Clinicians Can Also Check 2018 MIPS Clinician Eligibility at the Group Level and APM Predictive QP Status at the APM Entity level:

To check your group’s 2018 QPP eligibility:

  • Log into the CMS Quality Payment Program website with your EIDM credentials
  • Browse to the Taxpayer Identification Number affiliated with your group
  • Access the details screen to view the eligibility status of every clinician based on their NPI

We are also pleased to announce that you can now download the list of all NPIs associated with your TIN. The downloaded file also includes eligibility information for each NPI. This enhancement was made in direct response to stakeholder requests for this helpful function.

Questions?

Contact the Quality Payment Program Service Center by:

  • Email: QPP@cms.hhs.gov
  • Phone: 1-866-288-8292/TTY: 1-877-715-6222