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Welcome to the Qualified Entity Certification Program

The CMS Qualified Entity Program (also known as the Medicare Data Sharing for Performance Measurement Program) enables organizations to receive Medicare Parts A and B claims data and Part D prescription drug event data for use in evaluating provider performance. Organizations approved as qualified entities (QEs) Organizations approved as qualified entities are required to use the Medicare data to produce and publicly disseminate CMS-approved reports on provider performance. QEs are also permitted to create non-public analyses and provide or sell such analyses to authorized users. In addition, QEs may provide or sell combined data, or provide Medicare claims data alone at no cost, to certain authorized users. Under the Qualified Entity Certification Program (QECP), CMS certifies QEs to receive these data and monitors certified QEs.

Interested in learning more? Register to be assigned a dedicated QECP program manager who will answer your questions and guide your organization through the QE application process.

If you would like more information about the program, you may download and review the QECP Operations Manual and Appendices.

Want to see the QEs operating in your state? Use the map below to learn about the current certified QEs, visit their websites, and see the public reports they have produced using the QE Medicare data.