?414.1330 and §414.1335 CMS Web Interface Submission Mechanism

Quality Payment Program/Merit-Based Incentive Payment System (MIPS) (CMS-10621)

Appendix C_2018_QPP_Web_Interface_Registration

?414.1330 and §414.1335 CMS Web Interface Submission Mechanism

OMB: 0938-1314

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Quality Payment Program

2018 Registration Guide for the CMS Web
Interface and CAHPS for MIPS Survey
Table of Contents
Section

Page Number

I. Introduction

II. Getting Started

III. Submit a New 2018 Registration for the CMS Web
Interface and/or CAHPS for MIPS Survey
Registration

IV. Modify an Existing 2018 Registration for the CMS
Web Interface and/or CAHPS for MIPS Survey
Interface Registration

V. View a CMS Web Interface and/or CAHPS for MIPS
Survey Registration Summary
VI. Cancel Your 2018 Registration for the CMS Web
Interface and/or CAHPS for MIPS
Survey

8
9

If you have questions or need further assistance regarding an EIDM account, please contact the Quality Payment Program by phone at
866-288-8292 (TTY 1-877-715-6222) or by e-mail at [email protected]. Business hours are Monday-Friday from 8:00am to 8:00pm ET.

Quality Payment Program

I. Introduction
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced a patchwork collection of
reporting programs with a single system where Medicare physicians and clinicians have a chance to be
rewarded for better care. There are two paths in this program:
•

Merit-based Incentive Payment System (MIPS)

•

Advanced Alternative Payment Models (APMs)

Historically, under the Physician Quality Reporting System (PQRS), groups were required to register to
participate in the PQRS Group Practice Reporting Option (GPRO) utilizing one of the available submission
mechanisms: Qualified Registry, Electronic Health Record (EHR) (via Direct EHR using certified EHR technology
(CEHRT) or CEHRT via Data Submission Vendor), Qualified Clinical Data Registry (QCDR), and CMS Web
Interface (for groups with 25 or more eligible professionals only), as well as groups that intended to
administer the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for PQRS survey.
Now that the PQRS is sun-setting in 2018 and being replaced with the Quality Payment Program, groups
participating in the Merit-based Incentive Payment System (MIPS) are not required to register, except for
groups of 25 or more clinicians that intend to utilize the CMS Web Interface and/or administer the CAHPS for
MIPS survey. Additionally, if you are participating in a Medicare Accountable Care organization (ACO), your
ACO is required to submit quality data to CMS on your behalf and you do not need to create an EIDM account.
A “group” is defined as a single Medicare billing Taxpayer Identification Number (TIN) with 2 or more
individual ECs (including at least one MIPS eligible clinician), as identified by their individual National Provider
Identifier (NPI), who have reassigned their billing rights to the TIN.
For the second year of MIPS (2018), groups can register to utilize the CMS Web Interface and/or administer
the CAHPS for MIPS survey between April 1, 2018 and June 30, 2018 (11:59pm EDT) via
https://portal.cms.gov using a valid Enterprise Identity Management (EIDM) account.
This guide provides step-by-step instructions on how a group can register to participate in MIPS utilizing the
CMS Web Interface and/or administer the CAHPS for MIPS survey for the 2018 performance year. This guide
also includes instructions for modifying registration information and canceling registration for the CMS Web
Interface and/or CAHPS for MIPS survey in the registration system.
Additional information about the Quality Payment Program, submission mechanisms and more can be found on
the Quality Payment Program https://qpp.cms.gov/.

Quality Payment Program

II. Getting Started
Create and Access your EIDM account. An individual from the group can sign-up for a new EIDM account
or modify an existing account at https://portal.cms.gov. This step should be completed NOW to avoid any last
minute delays in obtaining an EIDM account. An EIDM account must be obtained in advance in order for a
group’s registration to be submitted before the registration period closes on June 30, 2018 at 11:59pm
EDT.
•

To determine whether your group already has an individual who can register the group to utilize the CMS
Web Interface and/or administer the CAHPS for MIPS survey, please contact the Quality Payment Program
Service Center and provide the group's TIN and the name of the group.

Prepare to Register. Please gather the following information before you begin to register your group (as
identified by its Medicare-billing TIN) in the registration system:
•

Organization Information: Group Name, Entity Name, and Organization Mailing Address.

•

Requestor Information: First Name, Last Name, Email, and Phone Number.

•

Program Contact Information: First Name, Last Name, Email, Phone Number and Address.

•

Technical Contact Information: First Name, Last Name, Email, Phone Number and Address.

•

Determine your group size of clinicians: 2-24, 25-99, or 100 or more

•

Determine your selection:
o

CMS Web Interface (for groups with 25 or more eligible clinicians)
Note: Some groups may have zero Medicare beneficiaries assigned for the CMS Web Interface as a
result of patient attribution and sampling rules. If a group does not have any Medicare patients for any
of the CMS Web Interface measures, the group will not meet the criteria for satisfactory reporting
using the CMS Web Interface. CMS will notify groups that do not have any Medicare beneficiaries
assigned, and such groups will need to participate in MIPS utilizing a different available submission
mechanism.

CAHPS for MIPS Survey (for groups with 2 or more eligible clinicians)
Note: In 2018, the CAHPS for MIPS survey is optional. For groups that have elected to administer the
CAHPS for MIPS survey in 2018, you are responsible for selecting and paying a CMS-approved survey
vendor to administer the surveys on your behalf. If it is determined that a group does not have a
sufficient number of beneficiaries to produce valid and reliable CAHPS data, CMS will notify the group
indicating that the group cannot participate in the administration of the CAHPS for MIPS survey and
another data submission option is recommended. Groups should make sure to report on sufficient
number of measures and activities via their other chosen submission mechanisms (Qualified Registry,
QCDR, EHR, or CMS Web Interface) to meet program requirements.

Quality Payment Program

Access the registration system. The registration system can be accessed at https://portal.cms.gov using a
valid EIDM account. Information on obtaining an EIDM account to access the registration system is available at
https://qpp.cms.gov/.

Quality Payment Program

III. Steps to Submit a New 2018 Registration for the
CMS Web Interface and/or CAHPS for MIPS
Survey
1. Go to https://portal.cms.gov. On the right hand side, select Log into CMS Secure Portal.
2. After accepting the Terms and Conditions, enter your EIDM User ID on the Welcome to CMS
Enterprise Portal screen and select Next.
3. Enter the Password and the Multi-Factor Authentication (MFA) information and then select Log In to
continue.
4. Select the Quality Payment Program tab at the top of the screen, and then select CMS Web Interface /
CAHPS for MIPS Survey from the dropdown menu. You will be directed to the Registration Welcome
page.
5. You will see a screen where the group(s) that are associated with your EIDM account are listed. To register
a group for the 2018 CMS Web Interface and/or CAHPS, select the Register link under Action to the right
of the group you want to register.
Note:
•

If your group participates in an Accountable Care Organization (ACO) that is in the Medicare Shared
Savings Program (Shared Savings Program) in 2018, then you will see an alert message letting you
know that your TIN is participating in the Shared Savings Program in 2018. The Shared Savings Program is
an Alternative Payment Model (APM) and your ACO should report quality data to CMS on your behalf. As a
result, your registration in this registration system is unnecessary. If you have a question about this alert,
please contact the Shared Savings Program at [email protected].

•

You will see an alert message if there is at least one provider identified by a TIN/NPI combination billing
under your TIN that participates in the Comprehensive Primary Care Plus, Next Generation ACO
Model, or Comprehensive ESRD Care Model in 2018. You may continue to register the TIN for CMS
Web Interface in the registration system. If you have a question about this alert, please contact the
appropriate help desk:
o

Comprehensive Primary Care Plus: [email protected] or 1-888-372-3280

Next Generation ACO Model: [email protected]

Comprehensive ESRD Care Model: [email protected] or 1-888-734-6433

6. Enter the required information in the Organization Information and Requestor Information sections.
7. Select the appropriate Group Size, CMS Web Interface (as long as you have at least 25
clinicians), and CAHPS for MIPS Survey options. Select Save & Continue to save your information
and proceed to the next screen.
If you have questions or need further assistance regarding an EIDM account, please contact the Quality Payment Program by phone at
866-288-8292 (TTY 1-877-715-6222) or by e-mail at [email protected]. Business hours are Monday-Friday from 8:00am to 8:00pm ET.

Quality Payment Program

8. Enter the required information in Program Contact Information and Technical Contact Information
sections. Select Save & Continue to save your information and proceed to the next screen.
Note: Select the check boxes if you want to pre-populate these sections with the information in the
Requestor Information and your Organization’s mailing Address sections from the previous screen.
9. Verify that all of your information in the Summary screen is correct. To modify any of the information,
select Edit. After you verify that the information is correct, select Submit to complete your registration
and submit it to CMS.
Note: Your group will not be registered to utilize the CMS Web Interface and/or administer the CAHPS for
MIPS survey for performance year 2018 until you select Submit. If you leave this screen without
submitting your registration, then your registration will have “In-progress” status and not considered
complete.
10. Record the Registration Identification Number provided in the Confirmation Message or select Print to
print the Confirmation Message for your record. If you need to contact the Quality Payment Program
Service Center to discuss your registration, please provide the Registration Identification Number. You will
also receive an email with the Registration Identification Number confirming your registration.

Quality Payment Program

IV. Modify an Existing Registration for the
CMS Web Interface and/or CAHPS for MIPS
Survey
You can modify an existing registration for the CMS Web Interface and/or CAHPS for MIPS survey for
performance year 2018 (e.g., change your CMS Web Interface and/or CAHPS for MIPS survey selection) by
logging into the registration system at any time before the registration period closes on June 30, 2018 at
11:59pm EDT and following the steps described below. If your group’s 2018 registration for the CMS Web
Interface and/or CAHPS for MIPS survey was canceled by you or the Quality Payment Program Service Center
and you want to re-register your group, then you must contact the Quality Payment Program Service Center at
1-866-288-8292 before the registration period closes.
1. See Steps 1-4 above
2. You will see a screen with a list of group(s) that are associated with your EIDM account. To modify an
existing 2018 registration for the CMS Web Interface and/or CAHPS for MIPS survey, select the Modify
link under Action to the right of the group whose registration you want to modify.
Note:
•

If your group participates in an Accountable Care Organization (ACO) that is in the Medicare Shared
Savings Program (Shared Savings Program) in 2018, then you will see an alert message letting
you know that your TIN is participating in the Shared Savings Program in 2018. The Shared Savings
Program is an Alternative Payment Model (APM) and your ACO should report quality data to CMS on
your behalf. As a result, your registration in this registration system is unnecessary. If you have a
question about this alert, please contact the Shared Savings Program at
[email protected].

•

You will see an alert message if there is at least one provider identified by a TIN/NPI combination
billing under your TIN that participates in Comprehensive Primary Care Plus, the Next Generation ACO
Model, or the Comprehensive ESRD Care Model in 2018. You may continue to register the TIN for CMS
Web Interface in the registration system. If you have a question about this alert, please contact the
appropriate help desk:
o

Comprehensive Primary Care Plus: or [email protected] or 1-888-372-3280

Next Generation ACO Model: [email protected]

Comprehensive ESRD Care Model: [email protected] 1-888-734-6433

3. As needed, update the information in the Organization Information and Requestor Information
sections. Update the Group Size, CMS Web Interface, and CAHPS for MIPS Survey options. Select
Save & Continue to save your information and proceed to the next screen.

Quality Payment Program

4. As needed, update the information in Program Contact Information and Technical Contact
Information sections. Select Save & Continue to save your information and proceed to the next screen.
5. See Steps 9 and 10 above.

V. View your CMS Web Interface and/or
CAHPS for MIPS Survey Registration Summary
You can view a summary of your group’s 2018 registration information for or a previous year’s registration (if
available).
1. Go to https://portal.cms.gov. On the right hand side, select Log into CMS Secure Portal.
2. After accepting the Terms and Conditions, enter your EIDM User ID on the Welcome to CMS
Enterprise Portal screen and select Next.
3. Enter the Password and the Multi-Factor Authentication (MFA) information and then select Log In to
continue.
4. Select the Quality Payment Program tab at the top of the screen, and then select CMS Web Interface /
CAHPS for MIPS Survey from the dropdown menu. You will be directed to the Registration Welcome
page.
5. You will see a screen with the list of group(s) that are associated with your EIDM account. Select the View
link under Action to the right of the group whose registration information you want to view.
6. You will see a Summary screen with the registration information provided.
Note:
•

If you are viewing your group’s 2018 registration information and want to update any of the information,
select Home to go back to the Welcome screen, and then select Modify. You will be able to modify a
2018 registration until the registration system closes on June 30, 2018 at 11:59pm EDT.

•

If you are viewing a prior year’s registration information, then you will not be able to modify the
registration.

Quality Payment Program

VI. Cancel Your 2018 Registration for the
CMS Web Interface and/or CAHPS for MIPS
Survey
If your group registered to participate in MIPS utilizing the CMS Web Interface and/or administering the
CAHPS for MIPS survey for the 2018 performance year, but wishes to cancel the registration, then you can log
into the registration system and cancel the registration by following the steps described below OR contact the
Quality Payment Program Service Center at 1-866-288-8292 before the registration period closes on June 30,
2018 at 11:59 pm EDT. You will not be allowed to cancel the group’s 2018 registration after this date. If
you want to re-register the group to participate in MIPS utilizing the CMS Web Interface and/or administering
the CAHPS for MIPS survey for the 2018 performance year, then you must contact the Quality Payment
Program Service Center before the registration period closes.
1. See steps 1-4 in the Steps to Submit a New 2018 Registration for the CMS Web Interface and/or CAHPS for
MIPS Survey section above.
2. You will see a screen where the group(s) that are associated with your EIDM account are listed. To cancel
an existing 2018 registration for the CMS Web Interface and/or CAHPS for MIPS survey, select the Cancel
link under Action to the right of the group whose registration you want to cancel.
3. Respond to the following Cancel Alert message: “Are you sure you want to cancel your TIN’s registration
for participation in MIPS utilizing the CMS Web Interface and/or administering the CAHPS for MIPS survey
for performance year 2018? If you would like to re-register your TIN after cancelation, you will need to
contact the Quality Payment Program Service Center at 1-866-288-8292 for assistance.”
•

Yes (Cancel)

•

No (Do Not Cancel)

4. A cancelation pop-up box will be displayed when you select Yes (Cancel). Enter the reason for canceling
the registration (maximum of 1500 characters allowed).
5. Select Submit to cancel your group’s registration to participate in MIPS utilizing the CMS Web Interface
and/or administering the CAHPS for MIPS survey for performance year 2018.
6. Record the Registration Identification Number provided in the Confirmation Message or select Print to
print the Confirmation Message for your record. If you need to contact the Quality Payment Program
Service Center to discuss your registration, please provide the Registration Identification Number. You will
also receive an email with the Registration Identification Number confirming your registration cancelation.
Note:
•

If you did not intend to cancel the group’s registration, please contact the Quality Payment Program at
1-866-288-8292 as soon as possible to re-register your group before the registration period closes on
June 30, 2018 at 11:59pm EDT.

Quality Payment Program
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File Type	application/pdf
File Title	2018 Registration Guide for the CMS Web Interface and CAHPS for MIPS Survey
Author	CMS
File Modified	2017-10-12
File Created	2017-10-12