Appendix D1 2023 Submission Form for Requests for Qualifying Alterna

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

Appendix D1 2023 All-Payer QP Data Submission Form

CY 2023 Performance Period/2025 MIPS Payment Year Burden Summary

OMB: 0938-1314

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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleSubmission Form for Requests for Qualifying APM Participant (QP) Determinations under the All-Payer Combination Option
AuthorHHS/CMS
File Modified0000-00-00
File Created2023-08-25

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