Check Final 2023 MIPS Eligibility Status

Check Final 2023 MIPS Eligibility Status

You can now visit the Quality Payment Program (QPP) Participation Status Tool and review your final 2023 eligibility status for the Merit-based Incentive Payment System (MIPS). We’ve updated your eligibility status based on our review of Medicare Part B claims and Medicare Provider Enrollment, Chain, and Ownership System (PECOS) data from the second segment of the MIPS Eligibility Determination Period (October 1, 2022 – September 30, 2023).

• This status is final unless you participate in an Advanced Alternative Payment Model (APM) and your Qualifying APM Participant (QP) status changes as a result of the third APM Snapshot for the 2023 performance year.
• Results from the third APM Snapshot will be available in December 2023 and will be announced through the QPP listserv.

Review Your 2023 Eligibility

Your status may have changed, so we encourage you to use the QPP Participation Status Tool to confirm your final 2023 MIPS eligibility status.

If, after a review of the data from the first segment of the MIPS Eligibility Determination Period (October 1, 2021 – September 30, 2022), you were determined to be:

• Eligible for MIPS at a particular practice: Your eligibility status could have changed, and you may no longer be eligible. You should use the tool to make sure you’re still eligible.
• Not eligible for MIPS at a particular practice: Your eligibility status, based on your association with that particular practice, didn’t change.

Please note, if you joined a new practice (meaning you billed under, or assigned your billing rights to, a new or different Tax Identification Number (TIN)) between October 1, 2022, and September 30, 2023, we evaluated your MIPS eligibility status based on your association with that new practice (identified by TIN) for this second review.

If you’re a clinician that joined a new practice after September 30, 2023, you aren’t eligible for MIPS as an individual based on your association with that new practice (identified by TIN). However, you may be eligible to receive a MIPS payment adjustment based on your group’s participation, if the new practice you joined chooses to participate in MIPS as a group.

For More Information

Please visit the MIPS Participation Options Overview webpage on the Quality Payment Program website and check out the following resources:

• 2023 MIPS Eligibility and Participation Quick Start Guide (PDF, 1,679KB)
• 2023 MIPS Eligibility and Participation User Guide (PDF, 1,394KB)