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Centers for Medicare & Medicaid Services Quality Payment Program
* CMS Update to MIPS CQM #497: Preventive Care and Wellness (Composite) [ #link_1 ]
* Second Snapshot of 2024 Qualifying APM Participant (QP) Status and APM Participation Data Now Available in QPP Participation Status Tool [ #link_2 ]

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CMS Update to MIPS CQM #497: Preventive Care and Wellness (Composite)


The Centers for Medicare & Medicaid Services (CMS) has received several inquiries regarding the Submission Criteria #6 for Quality Measure #497: Preventive Care and Wellness (Composite) (PDF, 663KB) [ https://qpp.cms.gov/docs/QPP_quality_measure_specifications/CQM-Measures/2024_Measure_497_MIPSCQM.pdf ] (available only as a Merit-based Incentive Payment System (MIPS) clinical quality measure (CQM)). 

This composite measure contains 7 component measures that were previously specified as individual quality measures. After assessing the issue,* CMS determined that there are incorrect instructions within the measure specification regarding Submission Criteria #6 (quality measure #226**1** component) that require the reporting of all 3 performance rates*. Rather than submitting all 3 performance rates for Submission Criteria #6 (quality measure #2261 component), only the 2nd performance rate (identified as Submission Criteria #6b within the measure specification) will be required when reporting this component measure within the composite measure for the 2024 performance period. There aren’t any issues regarding the other 6 component measures for this composite measure. 

*Reporting the Measure* 

All 7 component measures and applicable Submission Criteria are required for reporting this composite measure. To report Submission Criteria #6 (quality measure #2261 component), you’ll *only* submit the 2nd performance rate (Submission Criteria #6b) as documented in the QPP measures [ https://github.com/CMSgov/qpp-measures-data ]repository [ https://github.com/CMSgov/qpp-measures-data ] on GitHub shown below:   


* *Submission Criteria #6b “tobacco”: *Percentage of patients screened for tobacco use and, if identified as a tobacco user, received cessation intervention during the encounter or within the previous 6 months.

*Next Steps*

CMS won’t update the measure’s specifications. However, CMS will:


* Provide more information in upcoming Qualified Clinical Data Registry (QCDR) and Quality Registry Support Calls.
* Create an addendum for this measure, which will be added to the 2024 Explore Measures & Activities [ https://qpp.cms.gov/mips/explore-measures?tab=qualityMeasures&py=2024 ] tool and the 2024 MIPS Clinical Quality Measure Specifications and Supporting Documents (ZIP, 56MB) [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/2630/2024%20MIPS%20CQM%20Specifications%20and%20Supporting%20Documents.zip ].
1 Quality ID #226 (CBE 0028): Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention [ https://qpp.cms.gov/docs/QPP_quality_measure_specifications/CQM-Measures/2024_Measure_226_MIPSCQM.pdf ]

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Second Snapshot of 2024 Qualifying APM Participant (QP) Status and APM Participation Data Now Available in QPP Participation Status Tool

On *October 7*, the Centers for Medicare & Medicaid Services (CMS) updated its Quality Payment Program Participation Status Tool [ https://qpp.cms.gov/participation-lookup ] based on the second snapshot of Alternative Payment Model (APM) data. The second snapshot includes data from Medicare Part B claims with *dates of service between January 1, 2024, and June 30, 2024*.  

The tool includes 2024 Qualifying APM Participant (QP) status [ https://qpp.cms.gov/apms/advanced-apms ] and MIPS APM participation status. 

To learn more about how CMS determines QP and the APM participation status for each snapshot [ https://qpp.cms.gov/apms/apm-determination-periods ], please visit the QPP website [ https://qpp.cms.gov/ ]. 

*What Action Do I Need to Take? *


* Log in to the QPP website and verify your Entity information.
* If your information is inaccurate on the QPP website, contact the QPP Helpdesk at QPP@cms.hhs.gov.

*How Do I Check My QP or APM Participation Status?* 

To view your QP or APM participation status: 


* Visit the QPP Participation Status Tool [ https://qpp.cms.gov/participation-lookup ]. 
* Enter your 10-digit National Provider Identifier (NPI). 

*What Does QP Status Mean?* 

If you qualify as a QP, this means you're: 


* Eligible for the 1.88% APM [ https://qpp.cms.gov/apms/overview ] incentive bonus; 
* Eligible for APM-specific rewards; and 
* Exempt from participating in MIPS [ https://qpp.cms.gov/mips/how-eligibility-is-determined ]. 

*Learn More* 

For more information on APMs, visit the QPP APM webpage [ https://qpp.cms.gov/apms/overview ]. For a 2023 and 2024 comprehensive list of APMs (PDF, 473KB) [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/2647/2023and2024CompListofAPMs.pdf ], and additional materials, visit the QPP Resource Library [ https://qpp.cms.gov/resources/resource-library ].

QPP Footer 2023 [ https://qpp.cms.gov/resources/help-and-support ]


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