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Now Available: Revised eCQM Specification for CMS156, Use of High-Risk Medications in Older Adults for 2023 Reporting/Performance Period for Eligible Clinicians

The Centers for Medicare & Medicaid Services (CMS) has revised the electronic clinical quality measure (eCQM) specification for CMS156v11, Use of High-Risk Medications in Older Adults, for the 2023 reporting/performance period for Eligible Clinician programs. CMS revised the age criteria from the previously published specification on May 5, 2022, to better align with clinical guidelines. Please note, measures will not be eligible for 2023 reporting unless and until they are proposed and finalized through notice-and-comment rulemaking for each applicable program.


The updated measure specification for CMS156v11, associated technical release notes (TRNs), and other publication documents such as the Eligible Clinicians Table of eCQMs (PDF) and Technical Release Notes (PDF) have been re-published on the eCQI Resource Center on the CMS156v11 page and on the eCQM Resources tab for Eligible Clinician eCQMs.


No changes have been made to Value Sets, Direct Reference Codes, or Terminology. The 2023 reporting/performance period eCQM value sets are available through the National Library of Medicine’s Value Set Authority Center (VSAC).


For Questions Regarding eCQMs visit the eCQM Issue Tracker. Note that an ONC Project Tracking System (Jira) account is required to ask a question or comment.

Last Updated: May 24, 2023