Code of Federal Regulations Title 42. Public Health § 42.414.1430 Qualifying APM participant determination:  QP and partial QP thresholds

(i) 2019 and 2020:  25 percent.

(ii) 2021 and 2022:  50 percent.

(iii) 2023 and later:  75 percent.

(i) 2019 and 2020:  20 percent.

(ii)   1 2021 and 2022:  40 percent.

(ii)   1 2023 and later:  50 percent.

(i) 2019 and 2020:  20 percent

(ii)   2 2021 and 2022:  35 percent

(ii)   2 2023 and later:  50 percent

(i) 2019 and 2020:  10 percent

(ii) 2021 and 2022:  25 percent

(iii) 2023 and later:  35 percent

(i) The QP payment amount thresholds are the following values for the indicated payment years:

(ii) To meet the QP payment amount threshold under this option, the eligible clinician must also meet a 25 percent QP payment amount threshold under the Medicare Option.

(i) The Partial QP payment amount thresholds are the following values for the indicated payment years:

(ii) To meet the QP payment amount threshold under this option, the eligible clinician must also meet a 20 percent Partial QP payment amount threshold under the Medicare Option.

(i) The QP patient count thresholds are the following values for the indicated payment years:

(ii) To meet the QP patient count threshold under this option, the eligible clinician must also meet a 20 percent QP patient count threshold under the Medicare Option.

(i) The Partial QP patient count thresholds are the following values for the indicated payment years:

(ii) To meet the Partial QP patient count threshold under this option, the eligible clinician group or eligible clinician must also meet a 10 percent QP patient count threshold under the Medicare Option.