Do You Need to Report to MIPS?

The Quality Payment Program: Merit-based Incentive Payment System (MIPS) & Advanced Payment Model (APM)

Providers are a part of the Quality Payment Program in 2017 if you are in an Advanced Payment Model (APM) or if you bill Medicare more than $30,000 in Part B allowed charges a year, and provide care for more than 100 Medicare patients a year. Receiving a Medicaid EHR Incentive Program payment does not exempt you from other Quality Payment Program reporting requirements. 

If a clinician participates in the Medicaid EHRIP, AND ALSO participates in Medicare Part B, he or she must assess their participation status requirements for the Quality Payment Program. This can be done by simply by entering the provider’s NPI at the QPP website:

Questions about Advanced Alternative Payment Mode ls (APMs) or the Merit-based Incentive Payment System (MIPS) can be directed to, or call the QPP Helpdesk number at 1-866-288-8292.