Title 42

PART 414 SUBPART O

Subpart O - Merit-Based Incentive Payment System and Alternative Payment Model Incentive Source:81 FR 77537, Nov. 4, 2016, unless otherwise noted.

• 42 U.S.C. 1302, 1395hh, and 1395rr(b)(l).
• Source: 55 FR 23441, June 8, 1990, unless otherwise noted.

42:3.0.1.1.1.15.3.1	SECTION 414.1300	414.1300 Basis and scope.
42:3.0.1.1.1.15.3.2	SECTION 414.1305	414.1305 Definitions.
42:3.0.1.1.1.15.3.3	SECTION 414.1310	414.1310 Applicability.
42:3.0.1.1.1.15.3.4	SECTION 414.1315	414.1315 Virtual groups.
42:3.0.1.1.1.15.3.5	SECTION 414.1317	414.1317 APM Entity groups.
42:3.0.1.1.1.15.3.6	SECTION 414.1320	414.1320 MIPS performance period.
42:3.0.1.1.1.15.3.7	SECTION 414.1325	414.1325 Data submission requirements.
42:3.0.1.1.1.15.3.8	SECTION 414.1330	414.1330 Quality performance category.
42:3.0.1.1.1.15.3.9	SECTION 414.1335	414.1335 Data submission criteria for the quality performance category.
42:3.0.1.1.1.15.3.10	SECTION 414.1340	414.1340 Data completeness criteria for the quality performance category.
42:3.0.1.1.1.15.3.11	SECTION 414.1350	414.1350 Cost performance category.
42:3.0.1.1.1.15.3.12	SECTION 414.1355	414.1355 Improvement activities performance category.
42:3.0.1.1.1.15.3.13	SECTION 414.1360	414.1360 Data submission criteria for the improvement activities performance category.
42:3.0.1.1.1.15.3.14	SECTION 414.1367	414.1367 APM performance pathway.
42:3.0.1.1.1.15.3.15	SECTION 414.1370	414.1370 APM scoring standard under MIPS.
42:3.0.1.1.1.15.3.16	SECTION 414.1375	414.1375 Promoting Interoperability (PI) performance category.
42:3.0.1.1.1.15.3.17	SECTION 414.1380	414.1380 Scoring.
42:3.0.1.1.1.15.3.18	SECTION 414.1385	414.1385 Targeted review and review limitations.
42:3.0.1.1.1.15.3.19	SECTION 414.1390	414.1390 Data validation and auditing.
42:3.0.1.1.1.15.3.20	SECTION 414.1395	414.1395 Public reporting.
42:3.0.1.1.1.15.3.21	SECTION 414.1400	414.1400 Third party intermediaries.
42:3.0.1.1.1.15.3.22	SECTION 414.1405	414.1405 Payment.
42:3.0.1.1.1.15.3.23	SECTION 414.1410	414.1410 Advanced APM determination.
42:3.0.1.1.1.15.3.24	SECTION 414.1415	414.1415 Advanced APM criteria.
42:3.0.1.1.1.15.3.25	SECTION 414.1420	414.1420 Other payer advanced APM criteria.
42:3.0.1.1.1.15.3.26	SECTION 414.1425	414.1425 Qualifying APM participant determination: In general.
42:3.0.1.1.1.15.3.27	SECTION 414.1430	414.1430 Qualifying APM participant determination: QP and partial QP thresholds.
42:3.0.1.1.1.15.3.28	SECTION 414.1435	414.1435 Qualifying APM participant determination: Medicare option.
42:3.0.1.1.1.15.3.29	SECTION 414.1440	414.1440 Qualifying APM participant determination: All-payer combination option.
42:3.0.1.1.1.15.3.30	SECTION 414.1445	414.1445 Determination of other payer advanced APMs.
42:3.0.1.1.1.15.3.31	SECTION 414.1450	414.1450 APM incentive payment.
42:3.0.1.1.1.15.3.32	SECTION 414.1455	414.1455 Limitation on review.
42:3.0.1.1.1.15.3.33	SECTION 414.1460	414.1460 Monitoring and program integrity.
42:3.0.1.1.1.15.3.34	SECTION 414.1465	414.1465 Physician-focused payment models.

---