Section 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.(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.(v) 2026 and later: 50 percent.(3)QP patient count threshold. The QP patient count thresholds are the following values for the indicated payment years: (i) 2019 and 2020: 20 percent(ii) 2021 and 2022: 35 percent(iii) 2023 and 2024: 35 percent.(v) 2026 and later: 50 percent.(4)Partial QP patient count threshold. The Partial QP patient count thresholds are the following values for the indicated payment years: (i) 2019 and 2020: 10 percent(ii) 2021 and 2022: 25 percent(iii) 2023 and 2024: 25 percent.(v) 2026 and later: 35 percent.(b)All-Payer Combination Option - (1)QP payment amount threshold.(i) The QP payment amount thresholds are the following values for the indicated payment years: (A) 2021 through 2025: 50 percent.(B) 2026 and later: 75 percent.(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.(2)Partial QP payment amount threshold.(i) The Partial QP payment amount thresholds are the following values for the indicated payment years: (A) 2021 through 2025:40 percent.(B) 2026 and later: 50 percent.(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.(3)QP patient count threshold.(i) The QP patient count thresholds are the following values for the indicated payment years:(A) 2021 through 2025: 35 percent.(B) 2026 and later: 50 percent.(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.(4)Partial QP patient count threshold.(i) The Partial QP patient count thresholds are the following values for the indicated payment years: (A) 2021 through 2025: 25 percent.(B) 2026 and later: 35 percent.(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. 81 FR 77537 , Nov. 4, 2016, as amended at 86 FR 65681 , Nov. 19, 2021; 87 FR 70230 , Nov. 18, 2022; 88 FR 79539 , Nov. 16, 2023 81 FR 77537 , 1/1/2017; 86 FR 65524 , 1/1/2022; 87 FR 70230 , 1/1/2023; 88 FR 79539 , 1/1/2024