Fourth Snapshot of 2018 APM Participant and MIPS APM Data Released

March 22, 2019
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), Practice Management, Practitioners

The Centers for Medicare & Medicaid Services (CMS) updated its Quality Payment Program Participation Status Tool based on the fourth snapshot of data from Alternative Payment Model (APM) entities. The tool includes 2018 Qualifying APM Participant (QP) and Merit-based Incentive Payment System (MIPS) APM status.

The December 31 date is used to allow eligible clinicians who joined a Medicare Shared Savings Program after August 31 to benefit from the APM scoring standard for MIPS.

Note: CMS will not make QP determinations based on the fourth snapshot.

To learn more about how CMS determines QP and MIPS APM status for each snapshot, please view the QP Methodology Fact Sheet.

What Does QP Status and MIPS APM Status Mean?

If you qualify as a QP, this means you are:

  • Eligible for the 5 percent APM incentive bonus
  • Exempt from participating in MIPS

How Do I Check My QP or MIPS APM Status?

To view your QP or MIPS APM status at the individual level:

To check your group’s 2018 eligibility at the APM entity level:

Additional Resources

For a comprehensive list of APMs, visit the QPP Resource Library. To call or email the  QPP Program Service Center: