---
title: It's Here! The 2021 QPP Final Rule.
description: The 2021 QPP Final Rule is now available. For updates and key policy changes take a look at the 2021 Quality Payment Program Final Rule Overview Fact Sheet and other Final Rule resources found on our blog!
image: https://go.northwestahec.wakehealth.edu/hubfs/undefined.png
---

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# Practice Support Update Blog

## [It's Here! The 2021 QPP Final Rule.](https://go.northwestahec.wakehealth.edu/practicesupport/2021-qpp-final-rule)

 Dec 9, 2020 3:30:00 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team)

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The [2021 QPP Final Rule](https://www.cms.gov/files/document/12120-pfs-final-rule.pdf) is now available.  For updates and key policy changes take a look at the 2021 Quality Payment Program Final Rule Overview Fact Sheet and other Final Rule resources found [here](https://qpp-cm-prod-content.s3.amazonaws.com/uploads/1207/2021%20QPP%20Final%20Rule%20Resources.zip).   

Important highlights for the [Quality Payment Program](https://qpp.cms.gov/) in PY2021: 

- MIPS Value Pathways will NOT be introduced into the QPP for the 2021 performance period; however, the APM Performance Pathway (APP) will be available to MIPS eligible clinicians participating in MIPS APMs. 
- The APP is required for Medicare Shared Savings Program ACOs.  
- Clinicians in a MIPS APM will be evaluated for MIPS eligibility at the individual and group levels, and will no longer be evaluated at the Entity level for the low-volume threshold. 
- The APM Scoring Standard will no longer be used beginning in the 2021 performance period.   
- All MIPS eligible clinicians, including those in a MIPS APM, may choose to participate in MIPS as an individual, a group, a virtual group or and APM entity. 
- Reporting through CMS Web Interface will be extended through 2021, but will sunset beginning with the 2022 performance period. 
- Traditional MIPS and the APP are the reporting frameworks available for the 2021 performance period. 

**MIPS Scoring for 2021** 

Performance Threshold remains at 60 points 

**Traditional MIPS Category Weights** 

![](https://go.northwestahec.wakehealth.edu/hubfs/undefined.png)

**APM Entities Reporting Traditional MIPS Category Weights** 

 ![](https://go.northwestahec.wakehealth.edu/hubfs/undefined-1.png)

For questions or further assistance, please [contact your NW AHEC Practice Support team](https://school.wakehealth.edu/Education-and-Training/Continuing-Professional-Education/Northwest-AHEC/Practice-Support-Services)

 

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 Tags: [MIPS](https://go.northwestahec.wakehealth.edu/practicesupport/topic/mips), [QPP](https://go.northwestahec.wakehealth.edu/practicesupport/topic/qpp), [APP](https://go.northwestahec.wakehealth.edu/practicesupport/topic/app), [APM](https://go.northwestahec.wakehealth.edu/practicesupport/topic/apm), [MVP](https://go.northwestahec.wakehealth.edu/practicesupport/topic/mvp), [Final Rule](https://go.northwestahec.wakehealth.edu/practicesupport/topic/final-rule)

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- [leadership (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/leadership)
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- [medical provider (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/medical-provider)
- [memory (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/memory)
- [monoclonal antibodies (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/monoclonal-antibodies)
- [north carolina (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/north-carolina)
- [nurse practitioners (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nurse-practitioners)
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- [podcast (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/podcast)
- [prenatal (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/prenatal)
- [psychology (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/psychology)
- [seniors (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/seniors)
- [sexually transmitted infections (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/sexually-transmitted-infections)
- [social justice (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/social-justice)
- [social work (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/social-work)
- [stress (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/stress)
- [students (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/students)
- [technology (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/technology)
- [women's health (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/womens-health)
- [youth (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/youth)
- [#syphilis (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/syphilis)
- [988 (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/988)
- [ACA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/aca)
- [AI (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ai)
- [CAP (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cap)
- [CNA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cna)
- [CSRS (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/csrs)
- [Case Management (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/case-management)
- [Community Health Worker (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/community-health-worker)
- [Fetal Alcohol Spectrum Disorders (FASD) (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/fetal-alcohol-spectrum-disorders-fasd)
- [Free and Charitable Clinics (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/free-and-charitable-clinics)
- [HEDIS (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hedis)
- [HIPAA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hipaa)
- [Hardship Exception (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hardship-exception)
- [Healthcare Insights (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/healthcare-insights)
- [Heart Health Now (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/heart-health-now)
- [ICD-10 (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/icd-10)
- [Keeping Kids Well (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/keeping-kids-well)
- [MVP (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/mvp)
- [Medicine (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/medicine)
- [NCPHC (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ncphc)
- [Nc Health Choice (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-health-choice)
- [Obstetrics (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/obstetrics)
- [PECOS (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/pecos)
- [PPE (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ppe)
- [PTSD (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ptsd)
- [Pfizer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/pfizer)
- [RSV (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/rsv)
- [Relief Fund (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/relief-fund)
- [SAMHSA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/samhsa)
- [SOGI (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/sogi)
- [STD Update (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/std-update)
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- [TPM (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/tpm)
- [access (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/access)
- [aggression (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/aggression)
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- [atrium health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/atrium-health)
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- [broadband access (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/broadband-access)
- [care transitions (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/care-transitions)
- [carolina access (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/carolina-access)
- [carolina complete (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/carolina-complete)
- [chronic kidney disease (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/chronic-kidney-disease)
- [climate change (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/climate-change)
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- [equity (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/equity)
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- [health care (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-care)
- [health leadership (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-leadership)
- [healthcare (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/healthcare)
- [heart health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/heart-health)
- [hepatitis (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hepatitis)
- [hiring (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hiring)
- [hiv (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hiv)
- [home health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/home-health)
- [homeless (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/homeless)
- [hosar (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hosar)
- [housing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/housing)
- [human trafficking (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/human-trafficking)
- [hypertension (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hypertension)
- [implicit bias (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/implicit-bias)
- [infant formula (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infant-formula)
- [infection (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infection)
- [infectious disease (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infectious-disease)
- [internet (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/internet)
- [intervention (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/intervention)
- [lantern (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lantern)
- [lock your meds (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lock-your-meds)
- [lung cancer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lung-cancer)
- [maternal health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/maternal-health)
- [motivational interviewing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/motivational-interviewing)
- [nc medical journal (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-medical-journal)
- [oncology (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/oncology)
- [opioid (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/opioid)
- [oral health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/oral-health)
- [outcomes (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/outcomes)
- [payer contracting (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/payer-contracting)
- [phishing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/phishing)
- [physical therapy (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/physical-therapy)
- [physician assistant (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/physician-assistant)
- [prediabetes (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/prediabetes)
- [prior authorizations (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/prior-authorizations)
- [race (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/race)
- [referral (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/referral)
- [regulations (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/regulations)
- [remote patient monitoring (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/remote-patient-monitoring)
- [research (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/research)
- [respiratory care (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/respiratory-care)
- [rn refresher (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/rn-refresher)
- [safety (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/safety)
- [scope of practice (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/scope-of-practice)
- [shelter (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/shelter)
- [smoking (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/smoking)
- [support staff (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/support-staff)
- [surgery (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/surgery)
- [surgical services (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/surgical-services)
- [team based care (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/team-based-care)
- [therapy (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/therapy)
- [training (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/training)
- [transgender (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/transgender)
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- [trillium (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/trillium)
- [united healthcare (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/united-healthcare)
- [virtual (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/virtual)
- [winston-salem (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/winston-salem)
- [winter (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/winter)

See all

### In Case You Missed It... Check Out These Recent Posts

# About Us

The Northwest Area Health Education Center of Wake Forest University School of Medicine provides and supports educational activities and services with a focus on primary care in rural communities and those with less access to resources to recruit, train and retain the workforce needed to create a healthy North Carolina.

[Learn More](https://school.wakehealth.edu/Education-and-Training/Continuing-Professional-Education/Northwest-AHEC)

# Links

- [Course Catalog](http://nwahec.org/)
- [Join Our Email List](https://share.hsforms.com/16F72ZaBBRBqAda7M--9l9w4ewk6)
- [About Northwest AHEC](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec)
- [Continuing Education Services](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec/continuing-professional-development)
- [Contact Support](https://go.northwestahec.wakehealth.edu/support)

# Contact Us

[ahecmktg@wakehealth.edu](mailto:ahecmktg@wakehealth.edu)

 Medical Center Boulevard  
 Winston-Salem, North Carolina

Copyright 2026 | Designed by [HubSpot](https://www.hubspot.com)

<https://www.youtube.com/user/NorthwestAHEC?sub_confirmation=1><https://go.northwestahec.wakehealth.edu/blog/rss.xml><https://www.linkedin.com/company/8087671><https://twitter.com/NorthwestAHEC><https://www.facebook.com/283682715601><https://www.instagram.com/northwestahec>

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