On April 8, the Centers for Medicare & Medicaid Services (CMS) updated its Quality Payment Program Participation Status Tool based on the fourth snapshot of Alternative Payment Model (APM) data. The fourth snapshot includes data from Medicare Part B claims with dates of service between January 1, 2025, and December 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 an increased physician fee schedule update based on the QP conversion factor;
- Eligible for APM-specific rewards; and
- Exempt from participating in MIPS.
Learn More
For more information on APMs, visit the QPP APM Overview webpage. For a 2025 and 2026 Comprehensive List of APMs (PDF, 360KB) and other APM-related materials, visit the QPP Resource Library.