The second snapshot update was on November 25, and the third snapshot update was on December 15. The second snapshot includes data from Medicare Part B claims with dates of service between January 1, 2025, and June 30, 2025. The third snapshot includes data from Medicare Part B claims with dates of service between January 1, 2025, and August 31, 2025.
The tool includes 2025 Qualifying APM Participant (QP) status and Merit-based Incentive Payment System (MIPS) APM participation status.
To learn more about how CMS determines QP and the APM participation status for each snapshot, please visit the QPP website.
What Action Do I Need to Take?
Log into the QPP Portal and verify your Entity information.
If your information is inaccurate on the QPP website, contact the QPP helpdesk at QPP@cms.hhs.gov.
On December 18, the Centers for Medicare & Medicaid Services (CMS) posted the 2026 approved Qualified Clinical Data Registries (QCDRs) and Qualified Registries Qualified Postings on the Quality Payment Program (QPP) Resource Library. The qualified postings assist clinicians with selecting a QCDR or Qualified Registry, which will collect and report clinical data to the Merit-based Incentive Payment System (MIPS) program on their behalf. The qualified postings provide the names of approved QCDRs and Qualified Registries, including the applicable QCDR measures and MIPS quality measures, Promoting Interoperability measures and objectives, improvement activities, and MIPS Value Pathways (MVPs) they are approved to support for the 2026 MIPS performance period.
2026 Qualified Registries Qualified Posting (XLSX, 223 KB) – This is a list of Qualified Registries that have been approved to participate in reporting MIPS quality measures, Promoting Interoperability measures and objectives, improvement activities, and MVPs for the 2026 performance period. A Qualified Registry is a CMS-approved intermediary that collects clinical data from eligible clinicians, groups, virtual groups, subgroups, and/or Alternative Payment Model (APM) Entities, including Medicare Shared Savings Program Accountable Care Organizations (ACOs), and submits the data to CMS on their behalf as a part of MIPS.
2026 QCDRs Qualified Posting (XLSX, 220 KB) – This is a list of QCDRs that have been approved to participate in reporting QCDR measures and/or MIPS quality measures, Promoting Interoperability measures and objectives, improvement activities, and MVPs for the 2026 performance period. A QCDR is also a CMS-approved intermediary that collects clinical data from an eligible clinician, group, virtual group, subgroup, and/or APM Entity, including a Shared Savings Program ACO, and submits the data to CMS as a part of MIPS. A QCDR is defined as an intermediary that demonstrates clinical expertise in medicine and quality measurement development. QCDRs collect medical or clinical data on behalf of clinicians, groups, virtual groups, subgroups, and/or APM Entities, including Shared Savings Program ACOs, to track patients and diseases and foster improvement in the quality of care provided to patients. QCDR reporting is different from a Qualified Registry as it isn’t limited to MIPS quality measures. QCDRs may also report on approved QCDR measures.
For More Information
Visit the QPP website to check your participation status, explore measures, and review guidance on MIPS, APM Entities, including Shared Savings Program ACOs, what to report, and more.
As you prepare for the upcoming performance year, we’d like to highlight some recent updates to the QPP website.
We’ve added information for the 2026 performance year
We’ve updated webpages detailing reporting requirements for the various performance categories and reporting options.
We’ve posted most of the 2026 measures specifications to the QPP Resource Library. Any remaining measure specifications will be available before 12/31/2025.
Visit the QPP Resource Library and apply the following filters to find the 2026 measure and activity specifications:
Performance Year: 2026
Resource Type: Measure Specifications and Benchmarks
We anticipate that 2026 Explore Measures & Activities, 2026 Explore MIPS Value Pathways (MVPs), and 2026 historical quality benchmarks will be available by early February.
We’ve updated the look and feel of the website
We’ve added a “getting started” section for those looking for basic program information.
We’ve expanded the content to provide information beyond reporting requirements, including system access, third party intermediaries, and payment.
We’ve made it easier for you to find related resources and webpages, and we’ve added on-page navigation.
We’ve introduced the Resource Library Assistant, an Artificial Intelligence (AI)-driven tool for quickly finding the answers to your QPP questions in the resources available on the QPP Resource Library.
We want to hear from you
You have the option to indicate on each page whether the content was helpful (using the thumbs up/thumbs down icons).
Once you make your selection, you’ll also have the opportunity to provide more detailed feedback.
Rural Status Updates for Performance Years 2025 and 2026
As noted in the MIPS eligibility announcement sent 12/4/2025, we needed to update the results for the rural special status based on the most recent Federal Office of Rural Health Policy (FORHP) Eligible ZIP code file available. That file wasn’t available when we released updated eligibility on 12/4/2025, but the update was completed 12/11/2025. Updated rural status is available on the QPP Participation Status tool.
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