A qualified entity is an individual, governmental agency, organization, or business that provides care or care placement services for vulnerable populations. Qualified entities may be private, public, for-profit, not-for-profit, or voluntary, comprising contractors, employees, or volunteers.
Vulnerable populations that qualified entities provide care or services may include:
- Individuals with disabilities
- The elderly
Being classified as a qualified entity allows an organization to partake in the CMS Qualified Entity (QE) Program, which allows organizations to receive Medicare claims data to evaluate provider performance. This program is also known as the Medicare Data Sharing for Performance Measurement Program.