MIPS Eligibility Now Available at Group Level

Date of Publication May 10, 2018

Providers may now use the CMS Quality Payment Program (QPP) website to check their groups 2018 eligibility for the Merit-based Incentive Payment System (MIPS). 

After logging in using EIDM credentials, browse to the Taxpayer Identification Number (TIN) affiliated with the group, click into a details screen to see the eligibility status of every clinician based on their National Provider Identifier (NPI) and find out whether they need to participate during the 2018 performance year for MIPS.

If you need an EIDM account, refer to the Enterprise Identity Management (EIDM) User Guide for instructions.

Changes to Low-Volume Threshold
The eligibility threshold was changed for 2018. Clinicians and groups are now excluded from MIPS if they:
• Billed $90,000 or less in Medicare Part B allowed charges for covered professional services under the Physician Fee Schedule (PFS)
 OR
• Furnished covered professional services under the PFS to 200 or fewer Medicare Part B -enrolled beneficiaries

This means that to be included in MIPS for the 2018 performance period, providers need to have billed more than $90,000 in Medicare Part B allowed charges for covered professional services under the PFS AND furnished covered professional services under the PFS to more than 200 Medicare Part B enrolled beneficiaries.

Find out whether the clinicians in your group are eligible for MIPS today. The MIPS Participation Lookup Tool can also be used see if individual clinicians are eligible for the 2018 performance year without needing to login to the group feature.

Contact the Quality Payment Program by  or toll free at 1-866-288-8292 (TTY: 1-877-715-6222), if you need help or have questions about using the Quality Payment Program website.

Recent News

Brian Privett, MD, Next IMS President-Elect

The IMS Board has selected Brian Privett, MD, as the next IMS President-Elect. Learn more about Dr. Privett and submit your commitments.

Alex Smith, DO -How Physicians Help Legislators Make Decisions

Helping legislators make the best evidence-based decisions for physicians, patients, and the practice of medicine is why Alex Smith, DO, is attending Physician Day on the Hill on March 27.

Iowa Total Care Contracting Information

Iowa's newest MCO, Iowa Total Care, will be providing coverage on July 1. Learn how your practice can contract with this new MCO.

Share the Issues Impacting Patient Care

Speaking on behalf of her patients is key reason Jen Groos, MD, FAAP, Pediatrics, Des Moines attends Physician Day on the Hill and you should too!

Nebel Named IBM Executive Director

IBM Names Kent Nebel, JD, new executive director

CMS Launches Podcast to Reach Stakeholders via Modern Platform

New podcast “CMS: Beyond the Policy” offers regular episodes that discuss agency updates and policies in a user-friendly medium

Got News?

Is there something you think we should be covering? What would you like to see IMS report on? Click here to let us know.