Crosswalk: Appendix L1

Appendix L2 2022 Partial QP Submission Form Crosswalk.docx

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

Crosswalk: Appendix L1

OMB: 0938-1314

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Download: docx | pdf

Partial Qualifying APM Participant (QP) Election Form

CY 2022 Final versus CY 2023 Final

Burden impact: The changes to this form reflect policies in the CY 2023 Physician Fee Schedule (PFS) Final Rule for the Quality Payment Program. There are no impacts to burden as a result of these changes.



*****

Change #1:

Location: Page 1, Line 1

Reason for Change:

Updated performance year.

CY 2022 Final Rule text:

2020

CY 2023 Final Rule text:

2022



*****

Change #2:

Location: Page 1, Line 2

Reason for Change:

Updated payment adjustment year.

CY 2022 Final Rule text:

2022

CY 2023 Final Rule text:

2024



*****

Change #3:

Location: Page 1, Line 7

Reason for Change:

Updated calendar year for submission of form.

CY 2022 Final Rule text:

March 31, 2021

CY 2023 Final Rule text:

March 31, 2023



*****

Change #4:

Location: Page 1, Line 14

Reason for Change:

Updated performance year and payment adjustment year.

CY 2022 Final Rule text:

performance year 2020 (payment adjustment year 2022)

CY 2023 Final Rule text:

performance year 2022 (payment adjustment year 2024)



*****

Change #5:

Location: Page 1, End of document

Reason for Change:

Updated calendar year for submission of form.

CY 2022 Final Rule text:

Please email the selected and signed form to [email protected] by March 31, 2021.

CY 2023 Final Rule text:

Please email the selected and signed form to [email protected] by March 31, 2023.



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAll-Payer QP Data Submission Form: CY 2022 Final versus CY 2023 Final
AuthorCMS
File Modified0000-00-00
File Created2023-09-02

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