MACRA QPP Center

Physicians Advocacy Institute

Frequently Asked Questions Updated for 2020

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1. Do I have to register somewhere to tell CMS if I’m in MIPS or an Advanced APM?

  1. For MIPS, you only need to register with CMS for one of the following reasons:
    1. If you are interested in joining/participating as part of a Virtual Group. You must go through an election process with CMS prior to the start of the performance period, so this must have been completed by December 31, 2109. For additional information, download the 2020 Virtual Groups Toolkit available on the CMS QPP Resource Library.
    2. If you are participating as a group or virtual group and elect to participate in the 2020 Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS survey. In order for groups to elect to participate in the 2020 CAHPS for MIPS survey, they must register by June 30, 2020. To learn more about the CAHPS for MIPS survey, please see the CAHPS for MIPS Survey 2020 Fact Sheet available on the CMS QPP Resource Library.
    3. If you are participating as a group or virtual group and elect to participate using the CMS Web Interface, you must register by June 30, 2020. The CMS Web Interface is an optional reporting mechanism for groups of 25 or more eligible clinicians. To learn more about the specific measures of the Web Interface option, please see the 2020 CMS Web Interface Measure Specifications and Supporting Documents available on the CMS QPP Resource Library.
       
  2. If you are participating in an Advanced APM or MIPS APM, you do not need to register on the CMS website, but an APM Entity must be established per the specific Advanced APM’s or MIPS APM’s requirements. For example, an ACO (the APM Entity) must be established to participate in the Medicare Shared Savings Program.



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