4. Am I required to participate in both MIPS and an Advanced APM? No, you are not required to participate in both; the QPP allows physicians to select whether they participate in the MIPS pathway or the Advanced APM pathway. Pages QPP in General1. 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.