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Initiation and Engagement of Substance Use Disorder Treatment

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Compare Versions of: "Initiation and Engagement of Substance Use Disorder Treatment"

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Table Options
Measure Information 2023 Performance Period
Title Initiation and Engagement of Substance Use Disorder Treatment
CMS eCQM ID CMS137v11
CBE ID* Not Applicable
MIPS Quality ID 305
Measure Steward National Committee for Quality Assurance
Description

Percentage of patients 13 years of age and older with a new substance use disorder (SUD) episode who received the following (Two rates are reported):

a. Percentage of patients who initiated treatment, including either an intervention or medication for the treatment of SUD, within 14...

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Measure Scoring Proportion measure
Measure Type Process
Stratification *See CMS137v11.html
Risk Adjustment *See CMS137v11.html
Rationale *See CMS137v11.html
Clinical Recommendation Statement *See CMS137v11.html
Improvement Notation

Higher score indicates better quality

Definition *See CMS137v11.html
Guidance

This eCQM is a patient-based measure.

This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.

Initial Population

Patients age 13 years of age and older as of the start of the measurement period who were diagnosed with a new SUD episode during a visit between January 1 and November 14 of the measurement period

Denominator

Equals Initial Population

Denominator Exclusions

Exclude patients who are in hospice care for any part of the measurement period

Numerator

Numerator 1: Initiation of treatment includes either an intervention or medication for the treatment of SUD within 14 days of the new SUD episode

Numerator 2: Engagement in ongoing SUD treatment within 34 days of initiation includes:

1. A long-acting SUD medication on the day after the...

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Numerator Exclusions

Not Applicable

Denominator Exceptions

None

Telehealth Eligible Yes
Next Version
Previous Version No Version Available
Last Updated: May 01, 2025