Crosswalk - Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-

Appendix F2 All-Payer QP Data Submission Form Crosswalk.pdf

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

Crosswalk - Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-

OMB: 0938-1314

Document [pdf]
Download: pdf | pdf
All-Payer QP Data Submission Form

CY 2020 Final versus CY 2021 Proposed

Burden impact: The changes to this form reflect proposals in the CY2021 Physician Fee
Schedule (PFS) Proposed Rule for the Quality Payment Program. There are no impacts to
burden as a result of these changes.
*****
Change #1:
Location: Page 6, Line 9
Reason for Change:
Alignment with current year.
CY 2020 Final Rule text:
2019
CY 2021 Proposed Rule text:
2020
*****
Change #2:
Location: Page 7, Line 27
Reason for Change:
Alignment with current year.
CY 2020 Final Rule text:
January 1, 2019-June 30, 2019.
CY 2021 Proposed Rule text:
January 1, 2020-June 30, 2020.
*****
Change #3:
Location: Page 7, Line 42
Reason for Change:
Alignment with current year.
CY 2020 Final Rule text:
January 1, 2019-June 30, 2019.
CY 2021 Proposed Rule text:
January 1, 2020-June 30, 2020.


File Typeapplication/pdf
File TitleAll-Payer QP Data Submission Form: CY 2020 Final vs CY 2021 Proposed
AuthorCMS
File Modified2020-08-03
File Created2020-08-03

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