OMB control number
Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration (CMS-10673)
OMB 0938-1354 · HHS/CMS.
OMB 0938-1354
The Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration (“the Demonstration”) is designed to test whether excluding clinicians who participate to a sufficient degree in certain payment arrangements with Medicare Advantage Organizations (MAOs) from reporting quality under the Merit-based Incentive Payment System (MIPS) will increase or maintain participation in payment arrangements with MAOs similar to Advanced Alternative Payment Models (APMs) and change the manner in which clinicians deliver care.
The latest form for Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration (CMS-10673) expires 2021-10-31 and is listed under ICR 201809-0938-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10673 Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration | Form and Instruction |
| 6c_CMS-10673_Revisions to MAQI Threshold Data Submission Form_4-10-2019.pdf | Supplementary Document |
| 4_CMS-10673_Revisions to MAQI Qualifying Arrangement Form_4-10-2019.pdf | Supplementary Document |
 1_CMS-10673 MAQI_Supporting Statement - Part A_4-10-2019_Clean.docx | Supporting Statement A |
| 3a_CMS 10673_Crosswalk for Supporting Statement - Part A_4-10-19.pdf | Supplementary Document |
| CMS-10673_Responses to MAQI Public Comments Received for CMS_4-10-2019.docx | Supplementary Document |
 Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201904-0938-016 | Revision of a currently approved collection | 2019-04-29 | Withdrawn and continue | |
| 201809-0938-002 | New collection (Request for a new OMB Control Number) | 2018-09-20 | Approved without change |