### Question
How does Supplementary Medical Insurance Benefits for Aged and Disabled define qualifying APM participant?


### Answer
Under *42 U.S.C. § 1395l*, **qualifying APM participant** is defined as:

> the following:


#### (A) 2019 and 2020


With respect to 2019 and 2020, an eligible professional for whom the Secretary determines that at least 25 percent of payments under this part for covered professional services furnished by such professional during the most recent period for which data are available (which may be less than a year) were attributable to such services furnished under this part through an eligible alternative payment entity

#### Citation:
  - *42 U.S.C. § 1395l*
  - Heading: **CHAPTER 7-SOCIAL SECURITY > SUBCHAPTER XVIII-HEALTH INSURANCE FOR AGED AND DISABLED > Part B-Supplementary Medical Insurance Benefits for Aged and Disabled**

