MIPS FAQs answered from CMS Quality Payment Program Service Center

August 23, 2017

If I attest successfully in the Medicaid EHR Incentive program for 2017, do I still need to participate in the QPP to avoid negative payment adjustments to my Medicare Part B allowed charges in 2019?

Yes. Eligible clinicians in the QPP do not receive any credit for participation in the Medicaid EHR Incentive program as they did for the Medicare EHR Incentive program and are not protected from the QPP negative payment adjustments.

If one eligible clinician (EC) in the group must meet the base score requirements for the Advancing Care Information (ACI) category, do all members of the group have to meet all of the measures for ACI, or will it suffice if only one EC in the group meets the ACI requirements?

No. As long as you report as a group, all ECs are assessed as a single entity instead of multiple entities. This means that if one EC has reportable data on the ACI category, and the other ECs in the group don’t, the group can report on the data provided by the one EC, and it will “count” as data for the group. (Cat Mazzawy)


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