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42 C.F.R. § 414.1430

Qualifying APM participant determination: QP and partial QP thresholds.

§ 414.1430 Qualifying APM participant determination: QP and partial QP thresholds.

(a) Medicare Option—(1) QP payment amount threshold. The QP payment amount thresholds are the following values for the indicated payment years:

(i) 2019 and 2020: 25 percent.

(ii) 2021 and 2022: 50 percent.

(iii) 2023 and 2024: 50 percent.

(iv) 2025: 50 percent.

(v) 2026 and later: 75 percent.

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

(i) 2019 and 2020: 20 percent.

(ii) 2021 and 2022: 40 percent.

(iii) 2023 and 2024: 40 percent.

(iv) 2025: 40 percent.

(v) 2026 and later: 50 percent.

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