Last Updated: Jan 21, 2021
The Consolidated Appropriations Act, signed into law on Dec. 27, 2020, included an extensive number of provisions aiming to ease burdens as the country continues to struggle amid the COVID-19 pandemic. One of the directives included in the legislation freezes the minimum thresholds for qualifying participation in Advanced Alternative Payment Models (Advanced APMs) in the Quality Payment Program (QPP).
Qualifying Participant (QP) thresholds for payment years 2023 and 2024 – performance years 2021 and 2022 – are frozen at 50 percent for the payment amount threshold and 35 percent for the patient count threshold. The partial QP thresholds are also frozen at the same levels for 2022 payment year (2020 performance year).
QPs become eligible for a five percent incentive payment for participating in Advanced APMs and are exempt from the Merit-based Incentive Payment System (MIPS).
Resources
QPP Participation Status Tool
The QPP offers a hotline for assistance at 1-866-288-8292 or by e-mail at QPP@cms.hhs.gov.
PAMED members with questions on the Consolidated Appropriations Act or the QPP can contact our Knowledge Center at 800-228-7823.