First Snapshot of 2025 Qualifying APM Participant Status and APM Participation Data Now Available in QPP Participation Status Tool - Corrected from message sent on July 23
On July 3, the Centers for Medicare & Medicaid Services (CMS) updated its Quality Payment Program Participation Status Tool based on the first snapshot of Alternative Payment Model (APM) data. The first snapshot includes data from Medicare Part B claims with dates of service between January 1, 2025, and March 31, 2025.
The tool includes 2025 Qualifying APM Participant (QP) status and Merit-based Incentive Payment System (MIPS) APM participation status.
To learn more about how CMS determines QP and the APM participation status for each snapshot, please visit the QPP website.
What Action Do I Need to Take?
Log into the QPP Portal and verify your Entity information.
If your information is inaccurate on the QPP website, contact the QPP helpdesk at QPP@cms.hhs.gov.
Delay with the Release of 2024 MIPS Final Scores and Targeted Review
There was a delay with receiving some of the final Medicare claims data needed to calculate cost measures. As a result, MIPS final scores for the 2024 performance year won’t be published until the fall, at which point we’ll also open the Targeted Review period. MIPS payment adjustments for the 2026 MIPS payment year will be released approximately one month after the release of final scores. The Targeted Review period will close 30 days after the release of MIPS payment adjustments. You’ll continue to be able to access measure and activity-level scores for the data you reported during the submission period. However, performance period benchmarks are part of final scoring and won’t be available until final scores are released.
We recognize that this is a change from the timeline we previously communicated and apologize for the inconvenience. We will communicate more definitive information about the revised timeline as we have it. In the meantime, we encourage you to confirm your MIPS eligibility and review the following scoring resources so that you’re prepared to understand your scores when they’re released. To confirm your eligibility for a MIPS payment adjustment, enter your National Provider Identifier (NPI) on the QPP Participation Status Look Up tool (check “PY 2024”) or sign into the QPP website and navigate to the Eligibility & Reporting page on the left hand navigation. Review pages 12 – 16 of the 2024 MIPS Eligibility and Participation Guide (PDF) for more information about what you see.
