The Centers for Medicare & Medicaid Services (CMS) has contracted with Guidehouse to conduct data validation and audits of a select number of Merit-based Incentive Payment System (MIPS) eligible clinicians. Data validation and audits are processes that will help ensure MIPS is operating with accurate and useful data. MIPS eligible clinicians, groups and virtual groups are required by regulation to comply with data sharing requests, providing all data as requested by CMS.
If you are selected for data validation and/or audit, you will receive a request for information from Guidehouse. It will be sent via email or by certified mail. Please be on the lookout for this notification. You will have 45 calendar days from the date of the notice to provide the requested information.
Please note, if you do not provide the requested information CMS may take further action, to include the possibility that you will be selected for future audits. To help avoid this, we are in the process of developing resources to support clinicians selected to participate.
We currently have the following data validation and audit resources available on the Quality Payment Program Resource Library:
Be sure to subscribe to the QPP listserv by entering your email at the bottom of the Quality Payment Program website so that you receive notifications about the most up to date MIPS Data Validation and Audit information available.
How do I get Help or More Information?
The Quality Payment Program can be reached at QPP@cms.hhs.gov or 1-866-288-8292 (TTY 1-877-715- 6222), Monday through Friday, 8:00 AM-8:00 PM Eastern Time.
As a reminder, QPP Submissions will no longer support QPP XML format starting January 2, 2020. The QPP Submissions API will only accept requests and return responses in QPP JSON format.
This means that files must be uploaded to the QPP website in either QPP JSON or QRDA III XML. This change improves the Submissions API performance and eliminates security vulnerabilities related to XML.
Who is impacted
The deprecation of QPP XML means that if you’ve ever configured your software to send requests to the QPP Submissions API or provided a file for your client to upload to the QPP website in QPP XML format, you will need to update your software to send those requests in QPP JSON format.
Please review the timeline below for key dates on QPP XML deprecation.
Organizations that already submit in QPP JSON are not impacted.
This does not apply to QRDA III XML. The QRDA III XML converter tool will remain available to convert QRDA III XML to QPP JSON.
Key dates for QPP XML deprecation
o Developer Preview environment: The QPP Submissions API in this environment will only accept requests in QPP JSON format.
o Production environment: The QPP Submissions API in this environment will still accept requests in QPP JSON and QPP XML format.
o Interactive documentation (https://preview.qpp.cms.gov/api/submissions/public/docs/): this website will only document the API in QPP JSON/
o Static documentation (https://cmsgov.github.io/qpp-submissions-docs/): this website will only document the API in QPP JSON.
o Production environment: The QPP Submissions API in this environment will only accept requests in QPP JSON format.
o Interactive documentation (https://preview.qpp.cms.gov/api/submissions/public/docs/): this website will only document the API in QPP JSON.
We’ll be posting reminders when each of these key dates through the Google Group for QPP APIs.
We recommend migrating as soon as possible to ensure you don’t experience any disruption.
Where to go for support in migrating to QPP JSON
Join CMS for a Public Webinar on Quality Measurement
Frequently Asked Questions About Legislation Removing Non-Medical Exemptions from School Vaccination Requirements here.
Here is the statement on Legislation Removing Non-Medical Exemption from School Vaccination Requirements.
Coming to three locations across the State:
Albany – July 1, 2019
Rochester – July 31, 2019
New York City – August 5, 2019
Each conference will be from 1:00 p.m. to 4:30 p.m., with registration beginning at 12:30 p.m.
Come learn how the New York State Workers’ Compensation Board is now better for workers and better for business. These half-day, afternoon programs are open to anyone with an interest in the New York State workers’ compensation system. Multiple CLEs and CMEs will be available!
For full details and to register, visit bit.ly/WCBconference19
Presented by the New York State Workers’ Compensation Board.
Questions? Contact Outreach@wcb.ny.gov
OPEN ACCESS to treatment and recovery services
Catholic Family Center is committed to providing services to individuals seeking service immediately and in a trauma informed, person centered manner.
OPEN ACCESS Hours
- Monday-Thursday 8:30am-3:00pm
- Fridays 8:30-1:00pm
- For individuals eligible for same day MATS it is important to come to our OPEN ACCESS hours prior to 1:00pm.
Medication Assisted Treatments (MATS)
- Prescribers are on site Monday –Friday
- Same day MATS available to include Inductions
- Medication treatment is available for all forms of substance use disorders & other addiction disorders, such as buprenorphine (Suboxone), naltrexone (Vivitrol) and many others.
Services currently available at CFC Restart, in addition to MATS:
- Group, individual and family therapy
- Group therapy offered 1x a week up to 3x a week (English & Spanish)
- Outpatient Rehab Service that offers Breakfast and a light lunch three days a week and treatment 5 days a week Monday-Friday (English & Spanish)
- Co-occurring services/ treatment (English & Spanish)
- Gambling Treatment (English & Spanish)
- IPV/SA groups (Intimate Partner Violence and Substance Abuse) (English & Spanish)
- Certified Peers embedded into all of the programs
- HCBS Peer Services
- HARP enrollment and assessment
- In-community Services to Francis Center, Sanctuary House, and Place of Hope (English & Spanish)
- Onsite access to NA group (s) (English & Spanish)
Recovery Is Possible
79 N. Clinton, Rochester, NY 14604 585-546-3046 ext 6122 www.cfcrochester.org
The Centers for Medicare and Medicaid Services (CMS) Innovation Center recently announced the CMS Primary Cares Initiative, a new set of payment models that will transform primary care to deliver better value for patients throughout the healthcare system. The CMS Primary Cares Initiative will provide primary care practices and other providers with five new payment model options, three of which are under the Direct Contracting (DC) path.
Direct Contracting is a set of three voluntary payment model options aimed at reducing expenditures and preserving or enhancing quality of care for beneficiaries in Medicare fee-for-service (FFS). The payment model options available under DC create opportunities for a broad range of organizations to participate with the CMS in testing the next evolution of risk-sharing arrangements to produce value and high quality health care.
Please attend one of our upcoming informational sessions to learn more about Direct Contracting. During the one-hour event, you’ll hear from senior leaders and the team behind Direct Contracting about the model’s aims and requirements, benefits of participation, and application process.
For your convenience, we will offer two informational sessions that will include a live question and answer session. Both will be recorded. Session information and registration links are included below:
Informational Session 1: Thursday, May 2nd at 3 PM EDT Register to attend
Informational Session 2: Tuesday, May 7th at 3 PM EDT Register to attend
Feel free to forward this invitation to colleagues who may be interested in learning more about Direct Contracting. For additional information about Direct Contracting, please visit the Direct Contracting Model Options web page.
Centers for Medicare & Medicaid Services (CMS) has sent this Center for Medicare and Medicaid Innovation (CMMI) Update. To contact Centers for Medicare & Medicaid Services (CMS) go to our contact us page.
The Centers for Medicare and Medicaid Services (CMS) Innovation Center recently announced the CMS Primary Cares Initiative, a new set of payment models that will transform primary care to deliver better value for patients throughout the healthcare system. The CMS Primary Cares Initiative will provide primary care practices and other providers with five new payment model options, two of which are under the Primary Care First path.
The Primary Care First payment model options will test whether financial risk and performance-based payments that reward primary care practitioners and other clinicians for easily-understood, actionable outcomes will reduce total Medicare expenditures, preserve, or enhance quality of care, and improve patient health outcomes. Primary Care First also includes a payment model option that provides higher payments to practices that specialize in care for high need patients, including those with complex, chronic needs and seriously ill populations (SIP).
Please attend one of our upcoming informational sessions to learn more about Primary Care First. During the one-hour event, you’ll hear from senior leaders and the team behind Primary Care First about the model aims, requirements, benefits of participation, and application next steps.
For your convenience, we will offer multiple informational sessions. Session information and registration links are included below:
Informational Session 1: Tuesday, April 30th at 12 PM EDT Register to attend
Informational Session 2: Tuesday, April 30th at 3 PM EDT Register to attend
Informational Session 3: Thursday, May 16th at 12 PM EDT Register to attend
Informational Session 4: Thursday, May 16th at 3 PM EDT Register to attend
Feel free to forward this invitation to colleagues who may be interested in learning more about the Primary Care First Model. Reference materials will also be available for download during the event.
For additional information about Primary Care First, please visit the model website at https://innovation.cms.gov/initiatives/primary-care-first-model-options/.
