Guide For Obtaining An EIDM Account And ‘Physician Quality .

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Guide for Obtaining an EIDM Account and‘Physician Quality and Value Programs’ Role forthe Quality Payment Program (QPP)Table of ContentsI. IntroductionII. Who Needs an EIDM account and ‘Physician Qualityand Value Programs’ Role for QPP?III. Which Role Do I Need?IV. What Do I Do Now?V. Creating an EIDM AccountVI. Requesting an Approver RoleVII. Requesting a Provider Role23612141940Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET1

I. IntroductionThis guide is for users who need an Enterprise Identity Data Management (EIDM) accountand/or ‘Physician Quality and Value Program’ role to submit or access QPP data. This guideprovides:1. Guidance about the users who need an EIDM account and ‘Physician Quality and ValueProgram’ role2. Guidance for choosing the right role for your needs3. Step-by-step instructions for users to create an EIDM account in the CMS Enterprise Portal4. Step-by-step instructions for users to request a role in the CMS Enterprise Portal using theirexisting EIDM accountNote: This guide was updated on 4/16/2018 to include information for CMS Web Interface and/orCAHPS for MIPS survey registration for performance year 2018.What’s Changing?Clinicians and third-party organizations who have reported to the Physician Quality ReportingSystem (PQRS) will recognize the EIDM roles needed for submission. (Please note that EIDMhas retained the PQRS naming convention for roles associated with QPP submission.)However, there are a few changes to the users who will need EIDM accounts and how they willrequest the necessary roles:1. While Accountable Care Organizations (ACOs) will continue to obtain an EIDM account androle to report Quality data at the entity level, groups participating in a Shared SavingsProgram (SSP) ACO must obtain their own EIDM accounts and roles under their ParticipantTIN to submit and meet the Advancing Care Information requirements under MIPS forpurposes of the MIPS APM Scoring Standard and the Shared Savings Program ACO-11quality measure.2. Electronic Health Record (EHR) or other Health IT Vendors reporting data on behalf oftheir clients will need to secure the appropriate EIDM role for each TIN (group or individualclinicians) they’re reporting on behalf of; this does not apply to Health IT vendors who areCMS-approved Qualified Clinical Data Registries or Qualified Registries.3. Groups (including MIPS APMs), Comprehensive Primary Care Plus (CPC ) practices,and individual practitioners that have contracted with an EHR/Health IT Vendor toreport data on their behalf will need to appoint an authorized representative to obtain anEIDM account with a Provider Approver role to approve the submitter role for the Vendor.4. NEW: Beginning with the 2018 Performance Year, a Security Official role is required toregister a group for the CMS Web Interface and/or CAHPS for MIPS survey.Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET2

II. Who Needs an EIDM account and ‘Physician Quality and ValuePrograms’ Role for QPP?1. Clinicians, groups, MIPS APMs, and certain Advanced APM participants that:oWill be submitting data directly to qpp.cms.govoHave secured an EHR/Health IT Vendor to submit their data to qpp.cms.gov (other thana CMS-approved Qualified Clinical Data Registry or Qualified Registry)oWant to view the data submitted on their behalf by a third partyoWant to register their group for the CMS Web Interface and/or the CAHPS for MIPSsurvey (groups only)2. Qualified Clinical Data Registries, Qualified Registries, and EHR/Health IT Vendors that will besubmitting data directly to qpp.cms.gov on behalf of their clients*All EIDM account holders must be in the United States of America*Who?Why?Accountable CareOrganizations (ACOs):Shared Savings Program(SSP)ACO representatives that will be reporting Quality data throughthe CMS Web Interface on behalf of the entire ACO(Primary TIN)Note: For ACO entity level Quality reporting, please see the2017 ACO EIDM Registration Guide on the ACO Portal,accessible through the Resource Library and the CMSEnterprise Portal. On the CMS Enterprise Portal, it is listedunder “2017 Quality Measurement and ReportingGuides.” Only ACO Health Plan Management Systemcontacts with a CMS user ID can access the Shared SavingsProgram ACO Portal.IMPORTANT! Groups participating in a Shared SavingsProgram (SSP) ACO must obtain EIDM accounts and rolesunder their Participant TIN to submit and meet the AdvancingCare Information requirements under MIPS for purposes of theMIPS APM Scoring Standard and the Shared SavingsProgram ACO-11 quality measure.(Note that the Participant TIN must be different than the ACOPrimary TIN for EIDM registration.)ACOs: Next Generation(NGACO)ACO representatives that will be reporting Quality data throughthe CMS Web Interface on behalf of the entire ACO(Primary TIN)Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET3

Who?Why?Note: For 2017 QPP guidance on EIDM registration and roles,please review NGACO EIDM guidance tions on EIDM can be sent toNextGenerationACOModel@cms.hhs.govComprehensive PrimaryCare Plus (CPC )1. CPC practices that will be submitting CPC Quality datadirectly via file upload on qpp.cms.gov:Note: Please send questions about the EIDM rolesneeded for eCQM attestation through the CPC Practice Portal to CPCplus@telligen.com(The designated CPC practice defined by apractice site location,TINs/NPIs)2. CPC practices that have secured an EHR/Health ITVendor to submit data on their behalf (those that are nota CMS-approved Qualified Clinical Data Registry orQualified Registry)CPC representatives that want to view data submitted ontheir behalf by an EHR/Health IT VendorGroups, including:1. Group or clinician representatives that will be submittingMIPS data directly to qpp.cms.gov including data for any, orall, of the following Performance Categories (individual orgroup reporting): MIPS APMparticipants Non-QP AdvancedAPM participants(2 clinicians billing underthe TIN)oQuality (via file upload or CMS Web Interface)oAdvancing Care Information (via file upload,attestation, or CMS Web Interface)oImprovement Activities (via file upload, attestation, orCMS Web Interface)IMPORTANT! Groups participating in a Shared SavingsProgram (SSP) ACO must obtain EIDM accounts and roles tosubmit and meet the Advancing Care Information requirementsunder MIPS for purposes of the MIPS APM Scoring Standardand the Shared Savings Program ACO-11 quality measure.2. Groups, reporting as individuals or a group, that havesecured an EHR/Health IT Vendor to submit data ontheir behalf (those that are not a CMS-approved QualifiedClinical Data Registry or Qualified Registry)Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET4

Who?Why?3. Group representatives that want to view data submittedon their behalf (reporting as individuals or a group) by aQualified Clinical Data Registry (QCDR), Qualified Registry,or EHR/Health IT Vendor4. Group representatives that want to register their group (orcancel a registration) for the CMS Web Interface and/orCAHPS for MIPS survey (refer to the 2018 RegistrationGuide for the CMS Web Interface and CAHPS for MIPSSurvey for more information)Individual/SoloPractitioners, including 1. Individual practitioners (or their representatives) that will besubmitting MIPS data directly to qpp.cms.gov includingdata for any, or all, of the following Performance Categories:MIPS APMparticipantsNon-QP AdvancedAPM participants(1 clinician billing under theTIN/SSN)oQuality (via file upload)oAdvancing Care Information (via file upload orattestation)oImprovement Activities (via file upload or attestation)2. Individual practitioners (or their representatives) that havesecured an EHR/Health IT Vendor to submit data ontheir behalf (those that are not a CMS-approved QualifiedClinical Data Registry or Qualified Registry)3. Individual practitioners (or their representatives) that want toview data submitted on their behalf by a Qualified ClinicalData Registry (QCDR), Qualified Registry, or EHR/Health ITVendorQualified Clinical DataRegistries (QCDRs)Third party organizations submitting MIPS data directly toqpp.cms.gov on behalf of their clients (CPC practices, grouppractices and/or individual practitioners) including data for any,or all, of the following Performance Categories:Qualified Registries Quality (via QPP JSON/XML or QRDA III XML file upload) Advancing Care Information (via QPP JSON/XML orQRDA III XML file upload) Improvement Activities (via QPP JSON/XML or QRDA IIIXML file upload)EHR/Health IT VendorsNOTE: An EIDM role is not necessary for data submission viaApplication Program Interface (API) by QCDRs and QualifiedQuestions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET5

Who?Why?Registries. Please visit the Developer Tools section ofqpp.cms.gov for additional information on API submission.III. Which Role Do I Need?For 2017 Quality Payment Program data submission, users will continue to request the sameroles that were needed to submit data to the Physician Quality Reporting System (PQRS).Please note: Even though the EIDM naming convention still refers to “PQRS”, these are theroles needed for QPP submission.Who?EIDM RoleEIDM RoleTypeFunctionsACOs: SharedSavings Program(SSP)ACO SecurityOfficialProviderApprover(Primary TIN)Web InterfaceSubmitterPQRSProviderPlease see the 2017 ACOEIDM Registration Guide forguidance on these roles.The Registration Guide is onthe ACO Portal, accessiblethrough the CMS EnterprisePortal. It is listed under“2017 Quality Measurementand Reporting Guides.” OnlyACO Health PracticeManagement Systemcontacts with a CMS user IDcan access the SharedSavings Program ACOPortal.IMPORTANT! Groups participating in a Shared SavingsProgram (SSP) ACO must obtain EIDM accounts and rolesunder their Participant TIN to submit and meet the AdvancingCare Information requirements under MIPS for purposes of theMIPS APM Scoring Standard and the Shared Savings ProgramACO-11 quality measure. Please refer to the “Groups”section of this table for the roles needed.Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET6

Who?EIDM RoleEIDM RoleTypeACOs: NextGeneration(NGACO)For 2017 QPP guidance on EIDM registration and roles, pleasereview NGACO EIDM guidance mary TIN)Questions on EIDM can be sent rimary Care Plus(CPC ) PracticesSecurity OfficialProviderApproverFunctions Approve “PQRSSubmitter” role requestsby other EIDM accountholders for theirorganization (includingEHR/Health IT Vendorsreporting on behalf oftheir practice) Submit data on behalf ofthe CPC practice View all data submittedby/on behalf of the CPC practice Submit any MIPS data onbehalf of the CPC practice View all data submittedby/on behalf of thepracticeThe designatedCPC TIN (2 clinicians billingunder the TIN)PQRS SubmitterPQRSProviderNote: An organization musthave a Security Officialbefore a user can requestthe PQRS Submitter roleComprehensivePrimary Care Plus(CPC ) Practices –IndividualPractitionerProviderApprover Approve “PQRSSubmitter” role requestsby EIDM account holdersfor the clinician (includingEHR/Health IT VendorsQuestions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET7

Who?EIDM RoleEIDM ting on behalf of theclinician)(1 clinician billingunder the ovider Submit data on behalf ofthe clinician View all data submittedby/on behalf of theclinician Submit any MIPS data onbehalf of the clinician View all data submittedby/on behalf of theclinicianNote: There must be a userwith the IndividualPractitioner role before auser can request theIndividual PractitionerRepresentative roleGroups, including: MIPS APMparticipants Non-QPAdvanced APMparticipants(2 clinicians billingunder the TIN)Security OfficialProviderApprover Approve “PQRSSubmitter” or “WebInterface Submitter” rolerequests by EIDMaccount holders for theirorganization (includingEHR/Health IT Vendorsreporting on behalf oftheir TIN) Submit any MIPS data onbehalf of the group, eitherreporting as a group orfor eligible cliniciansreporting individually View all data (includingPII) submitted by/onbehalf of a groupQuestions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET8

Who?EIDM RoleEIDM RoleTypeFunctionsreporting as a group (TINlevel)PQRS SubmitterPQRSProvider View all data submittedby/on behalf of theclinicians in the practicereporting individually Complete, modify orcancel a registration forthe CMS Web Interfaceand/or CAHPS for MIPSsurvey Submit any non-CMSWeb Interface MIPS dataon behalf of the practice,either as a group or foreligible cliniciansreporting individually View all data (includingPII) submitted by/onbehalf of the group View all data submittedby/on behalf of theclinicians in the practicereporting individuallyNote: An organization musthave a Security Officialbefore a user can requestthe PQRS Submitter roleWeb InterfaceSubmitterPQRSProvider Submit CMS WebInterface MIPS data onbehalf of the practice View all data (includingPII) submitted by/onbehalf of the practiceQuestions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET9

Who?EIDM RoleEIDM RoleTypeFunctions View all data submittedby/on behalf of theclinicians in the practicereporting individuallyNote: An organization musthave a Security Officialbefore a user can requestthe Web Interface gIndividualPractitionerProviderApprover Approve “PQRSSubmitter” role requestsby EIDM account holdersfor the clinician (includingEHR/Health IT Vendorsreporting on behalf of theclinician) MIPS APMparticipants Non-QPAdvanced APMparticipants Submit data on behalf ofthe clinician(1 clinician billingunder the TIN/SSN) View all data submittedby/on behalf of theclinician Submit any MIPS data onbehalf of the clinician View all data submittedby/on behalf of RSProviderNote: There must be a userwith the IndividualPractitioner role before auser can request theIndividual PractitionerRepresentative roleSecurity OfficialProviderApprover Approve “PQRSSubmitter” role requestsQuestions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET10

Who?EIDM RoleEIDM RoleTypeFunctionsby EIDM account holdersunder the TINQualified ClinicalData Registries(QCDRs) Submit data on behalf ofa group/ clinician View the data theysubmitted on behalf ofthe group/ clinician Submit data on behalf ofa group/ clinician View the data theysubmitted on behalf ofthe group/ clinicianQualified RegistriesPQRS SubmitterPQRSProviderNote: An organization musthave a Security Officialbefore a user can requestthe PQRS Submitter roleEHR/Health ITVendorsPQRS SubmitterPQRSProvider Submit MIPS data onbehalf of thegroup/clinician View all data submittedby/on behalf of thegroup/clinician*IMPORTANT* EHR/HealthIT Vendors must request thisrole for each group orindividual practitioner forwhom they are submittingdata. (One request per TIN.)Please note that thesegroups and/or individualpractitioners must have anEIDM account with theappropriate ProviderApprover role to approve theQuestions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET11

Who?EIDM RoleEIDM RoleTypeFunctionsEHR/Health IT Vendor rolerequest.IV. What Do I Do Now? Determine whether your organization is already registered in EIDMTo find out if your practice or organization is already registered in the EIDM, pleasecontact the Quality Payment Program by phone at 1-866-288-8292 / TTY 877-715-6222or by email at qpp@cms.hhs.gov. You will need to provide the group’s TIN and the nameof the group. Identify your organization’s Security OfficialTo determine the group’s Security Official, please contact the Quality Payment Programby phone at 1-866-288-8292 / TTY 877-715-6222 or by email at qpp@cms.hhs.gov. Youwill need to provide the group’s TIN and the name of the group.If your group does not already have a Security Official, designate one. Gather the required information for each roleooUsers requesting the Security Official role must provide: Group’s Medicare billing TIN, Legal Business Name, Rendering NPIs for two different eligible clinicians who bill under the TIN and theircorresponding individual Provider Transaction Access Numbers (PTANs) (do not usethe GROUP NPI or GROUP PTAN), and Organization Address, City, State, Zip Code, and Phone Number.Users requesting the Individual Practitioner role must provide: Clinician’s Name, Clinician’s Medicare billing TIN, Legal Business Name, Clinician’s Rendering NPI and corresponding individual Provider Transaction AccessNumbers (PTAN), and Address, City, State, Zip Code, and Phone Number.Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET12

oUsers requesting the PQRS Submitter, Web Interface Submitter, or IndividualPractitioner Representative role must provide: Group’s Medicare billing TIN, Legal Business Name, and Address, City, State, Zip Code, and Phone Number.Review the HHS Rules of Behavior, which govern the use of systems containingPersonally Identifiable Information (PII) and Personal Health Information (PHI)oThese rules, which include prohibitions against unauthorized access (such as sharingaccount information), are located mation-resources/index.htmloPlease note that when creating an EIDM account or requesting an EIDM role, you will berequired to acknowledge your agreement to abide by these rulesCreate an EIDM account and/or request the appropriate role by following the instructionsin this guideNote: You have twenty-five (25) minutes to complete each screen (unless a different time isnoted on the screen). If you take longer than 25 minutes to complete a screen, you will lose allthe information you entered and will need to start the process again.Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET13

V.Creating an EIDM AccountAlready have an EIDM Account? Skip this section.1. Navigate to https://portal.cms.gov/. The CMS Enterprise Portal page is displayed.2. Select the ‘New User Registration’ link.Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET14

3. Select PV: Physician Quality and Value Programs from the drop-down list, select ‘Iagree to the terms and conditions,’ and then select ‘Next’ to continue with theregistration process.Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET15

4. The ‘Register Your information’ page is displayed. Provide the information requested onthe ‘Register Your Information’ page. The fields with an asterisk (*) are required fieldsand must be completed. After all required information has been provided, select ‘Next’ tocontinue.NOTE: You may select ‘Cancel’ at any time to exit out of the user ID registration process. Allinformation provided, and any changes made, will not be saved.After providing the required information on the ‘Register Your Information’ page, the ‘CreateUser ID, Password & Security’ page is displayed.Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET16

5. Create your EIDM User ID and Password of your choice and based on the requirementsfor creating a user ID.Note: Your EIDM User ID must be a minimum of six (6) and a maximum of seventy-four(74) alphanumeric characters. It must contain at least 1 letter and cannot contain yourSocial Security Number or any 9 consecutive numbers. Allowed special characters aredashes (-), underscores ( ), apostrophes ('), @ and periods (.) followed by alphanumericcharacters.Note: Your EIDM Password must be a minimum of eight (8) and a maximum of twenty(20) characters in length. It must contain at least one (1) letter, one (1) number, one (1)uppercase letter, and one (1) lowercase letter. It cannot contain your User ID and thefollowing special characters may not be used: ?, , , ( ), ', ", /, , and &. Your passwordmust be changed at least every 60 days and can only be changed once a day.6. Select three (3) security questions from the Security Question drop-down menu andprovide the answer to each security questions.7. Select Next.Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET17

Review the Registration Summary screen and select Submit User to continue with the newregistration process.Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET18

Your registration for an EIDM account is now complete. You will receive an E-mailacknowledging your successful account creation with your EIDM User ID.You can login to the CMS Enterprise Portal by clicking on the “here” link.VI. Requesting an Approver RoleSkip this section if you: Are an EHR/Health IT Vendor that is not a CMS-approved Qualified Clinical Data Registryor Qualified Registry Already have a Provider Approver for your organizationPLEASE NOTE: A ‘Provider Approver’ role is the first role that must be requested by anorganization/individual practitioner, because the user with this role will approve all subsequentrole requests for the organization/individual practitioner.The section provides instruction for users for requesting the following Provider Approver roles: Security Official (Groups with 2 clinicians, CPC Practice Sites, Qualified Registries,Qualified Clinical Data Registries) Individual Practitioner (1 clinician billing under the TIN/SSN)Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET19

1. Navigate to https://portal.cms.gov/. The CMS Enterprise Portal home page is displayed.2. Once on the page, enter your EIDM user ID and password. Select Agree to our Terms& Conditions checkbox and then select Login on the CMS Enterprise Portal.3. Upon initial login, the CMS Enterprise Portal My Portal page is displayed. SelectRequest/Add Apps link on the My Portal screen page to begin the process of requesting anew user role request access to CMS Systems/ApplicationsQuestions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET20

4. Select the ‘Physician Quality and Value Programs’ domain and select ‘RequestAccess.’Note: The Access Catalog list presented is in alphabetical order. Scroll down until you findthe Physician Quality and Value Programs application or enter the first few letters of theapplication in the Access Catalog text box to narrow down the selection criteria.5. At the top of the next screen, the Physician Quality and Value Programs application will beauto-populated. Under ‘Select a Group’, select ‘’Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET21

6. Select the appropriate ‘Approver Role’, either ‘Security Official’ or ‘IndividualPractitioner’, then select ‘Next’.NOTE: The ‘Security Official’ role will be selected for those users in a third-partyorganization or that have multiple eligible clinicians (2 ) billing under a TIN. The‘Individual Practitioner’ role will be selected for those that are a sole proprietor billingunder a TIN or SSN.Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET22

7. Select ‘Next’ to complete the ‘Identity Verification’ section. The Identity Verificationprocess will only be completed the first time a user requests a role in the Physician Qualityand Value Programs domain in EIDM. If the Identity Verification has been completed,users can skip to step 17 to request additional rolesQuestions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET23

8. Read the Terms and Conditions. Select the ‘I agree to the terms and conditions’checkbox and then select ‘Next’, which will be enabled only after checking the ‘I agree tothe terms and conditions’ checkbox.Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET24

9. Enter the required information under ‘Your Information’ section. Select ‘Next’ whencomplete.Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET25

10. Select an answer to each question under ‘Verify Identity’. Select ‘Next’ after providing ananswer to each question. ‘Verify Identity’ question information is provided from Experianin association with the SSN Number provided in step 10.Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET26

11. Remote Identity Proofing is now complete. Select ‘Next’ to proceed to the ‘Multi-FactorAuthentication Registration’ process.12. Select ‘Next’ to begin registration for ‘Multi-Factor Authentication Information’ process.Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET27

13. Read the Register Your Phone, Computer, or E-mail notification and then select anoption from the ‘MFA Device Type’ drop-down menu.Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET28

14. (a) If selecting Phone/Tablet/PC/Laptop as Credential Type, the following requiredinformation fields will be displayed: NOTE: If you intend to use the VIP access softwareon your mobile device or computer, you must download the VIP software(https://vip.symantec.com/). If the VIP Access Software is not installed on your device, youwill be unable to complete the Multi-Factor Authentication process.oCredential IDoMFA Device Description(b) If selecting E-mail One Time Password (OTP) as Credential Type, the E-mail addresson your profile will automatically be used for the E-mail option to obtain the security codeand the following required information fields will be displayed:oMFA Device Description(c) If selecting Text Message – Short Message Service (SMS) as Credential Type, thefollowing required information fields will be displayed:oPhone NumberoMFA Device Description(d) If selecting Interactive Voice Response (IVR) as Credential Type, the followingrequired information fields will be displayed:oPhone Number and ExtensionoMFA Device DescriptionAfter providing the required information, select ‘Next’.(Screen shot on next page)Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET29

Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET30

15. Registration for the Multi-Factor Authentication is now complete. Select ‘Next’ toproceed to request the role.16. On the Request New Application Access page, provide the required information underthe Business Contact Information and Phone sections. Note that the information in theName section will be pre-populated with the Remote Identity Proofing information.Questions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET31

17. Refer to step 17A for information on requesting a ‘Security Official’ role and 17B forinformation on requesting an ‘Individual Practitioner’ role.A. Security Official (SO) Select either ‘Create an Organization’ or ‘Associate to an ExistingOrganization’ The first user registering on behalf of the organization will select ‘Create anOrganization’; other users registering with an existing EIDM organization willselect ‘Associate to an Existing Organization’.oTo Create an Organization: Complete the required information for the practice and select Next tocontinueQuestions? Contact the Quality Payment Program1-866-288-8292 TTY: 1-877-715-6222 qpp@cms.hhs.govMonday – Friday, 8am – 8pm ET32

NOTE: When creating a new organization, you have 3 attempts to enter 2 valid individualNational Provider Identifier/Provider Transaction Account Number (NPI/PTAN) combinations. Ifthe information is a confirmed match, the request will be auto approved. If you exceed theseattempts, your request will be sent on for manual approval.Example: Healthy Clinic with Medicare billing TIN 11-1111111 has ten eligible professionals inthe group. Enter the rendering NPI and individual PTAN combinations for two of the eligibleclinicians: Dr. Smith and Dr. Beaver. Dr. Smith’s rendering NPI is 4545454545 and the corresponding individual PTAN isG676767676.Note: PTANs are alphanumeric therefore, enter the alpha characters. Dr. Beaver’s rendering NPI is 2525252525 and the correspondin

the CMS Web Interface on behalf of the entire ACO Note: For ACO entity level Quality reporting, please see the 2017 ACO EIDM Registration Guide on the ACO Portal, accessible through the Resource Library and the CMS Enterprise Portal. On the CMS Enterprise Portal, it is list

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