QPP in General Pages QPP in General 1. Do I have to register somewhere to tell CMS if I’m in MIPS or an Advanced APM? 2. When do I begin participating? 3. When is the last day I can start participating to avoid a negative payment adjustment? 4. Am I required to participate in both MIPS and an Advanced APM? 5. Am I required to participate in the Quality Payment Program (QPP) at all? Comments are closed.