Quality Payment Program Look-Up Tool Updated

June 21, 2018
Policy Snapshot
Centers for Medicare and Medicaid (CMS), Alternative Payment Models (APM), Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Practitioners

The Centers for Medicare & Medicaid Services (CMS) updated the Quality Payment Program Look-Up Tool with 2018 Merit-based Incentive Payment System (MIPS) eligibility and Qualifying Alternative Payment Model (APM) Participant (QP) data. Clinicians, enter your National Provider Identifier (NPI) to find out:

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

You can also check 2018 MIPS clinician eligibility at the group level and APM Predictive QP status at the APM entity level:

  • Log into the Quality Payment Program website with your Enterprise Identity Data Management credentials
  • Find the Taxpayer Identification Number (TIN) affiliated with your group
  • Access the details screen to view the eligibility status of every clinician based on their NPI
  • Download the list of all NPIs associated with your TIN, including eligibility information for each NPI

For more information, look at the Predictive QP Methodology Fact Sheet or contact the Quality Payment Program Service Center at QPP@cms.hhs.gov or 866-288-8292 (TTY: 877-715-6222).