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.
How Do I Check My QP or APM Participation Status?
To view your QP or APM participation status:
- Visit the QPP Participation Status Tool.
- Enter your 10-digit National Provider Identifier (NPI).
What Does QP Status Mean?
If you qualify as a QP, this means you are:
- Eligible for APM-specific rewards.
- Exempt from participating in MIPS.
Learn More
For more information on APMs, visit the QPP APM Overview webpage. For a 2024 and 2025 Comprehensive List of APMs (PDF, 664KB) and other APM-related materials, visit the QPP Resource Library.
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.
Review these scoring resources:
- 2024 Traditional MIPS Scoring Guide (ZIP, 6MB)
- 2024 APP Scoring Guide, included in the 2024 APP Toolkit (ZIP, 2MB)
- 2024 MVPs Implementation Guide (PDF, 1MB)