Eligible Professional / Eligible Clinician eCQMs

The electronic clinical quality measures (eCQMs) are updated for calendar year 2019 reporting for eligible clinicians participating in the Quality Payment Program (QPP): the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs); Comprehensive Primary Care Plus (CPC+); and eligible professionals participating in the Medicaid Promoting Interoperability Program. Measures will not be eligible for 2019 reporting unless and until they are proposed and finalized through notice-and-comment rulemaking for each applicable program.

Each year, CMS makes updates to the eCQMs adopted for submission in CMS programs. CMS requires the use of updated eCQMs for all its quality programs because they include updated codes, logic corrections, and clarifications. Reporting eCQM data to CMS quality programs requires that an eligible professional or eligible clinician use the most current version of the eCQMs identified below for the applicable performance period. Performance period for eligible clinicians is defined as the measure data capture period of the calendar year between January 1 and December 31.

In addition, CMS may publish addenda to the eCQM updates.  The addenda provide updates to the codes used in value sets based on code system changes.

CMS has updated eCQMs for potential inclusion in the following programs:

Use the eCQM Materials and follow the eCQM Implementation Checklist to update your electronic health record and processes for eCQM use and reporting.

2019 Performance Period Eligible Professional / Eligible Clinician eCQMs
For Use eCQM Materials Published File Type
Jan 1 – Dec 31 2019 Feb 2018 pdf
Jan 1 – Dec 31 2019 May 2018 link
Jan 1 – Dec 31 2019 May 2018 pdf
Jan 1 – Dec 31 2019 May 2018 zip
Jan 1 – Dec 31 2019 May 2018 link
Jan 1 – Dec 31 2019 May 2018 zip
Jan 1 – Dec 31 2019 May 2018 pdf
Jan 1 – Dec 31 2019 May 2018 pdf
Jan 1 – Dec 31 2019 May 2018 zip
Jan 1 – Dec 31 2019 Jun 2018 pdf
Measure Name CMS eCQM ID Quality Domain NQF ID MIPS Quality ID Meaningful Measure Area USHIK Version Links
HIV Screening CMS349v1 Community/Population Health None Preventive Care Version Detail
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Functional Status Assessments for Congestive Heart Failure CMS90v8 Person and Caregiver-Centered Experience and Outcomes None 377 Patient Reported Functional Outcomes Version Detail
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Closing the Referral Loop: Receipt of Specialist Report CMS50v7 Communication and Care Coordination None 374 Transfer of Health Information and Interoperability Version Detail
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Functional Status Assessment for Total Hip Replacement CMS56v7 Person and Caregiver-Centered Experience and Outcomes None 376 Patient Reported Functional Outcomes Version Detail
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Hypertension: Improvement in Blood Pressure CMS65v8 Effective Clinical Care None 373 Management of Chronic Conditions Version Detail
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Functional Status Assessment for Total Knee Replacement CMS66v7 Person and Caregiver-Centered Experience and Outcomes None 375 Patient Reported Functional Outcomes Version Detail
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Documentation of Current Medications in the Medical Record CMS68v8 Patient Safety 0419 130 Medication Management Version Detail
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Bipolar Disorder and Major Depression: Appraisal for alcohol or chemical substance use CMS169v7 Effective Clinical Care None 367 Prevention, Treatment, and Management of Mental Health Version Detail
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Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan CMS69v7 Community/Population Health 0421 128 Preventive Care Version Detail
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Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists CMS74v8 Effective Clinical Care None 379 Preventive Care Version Detail
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Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture CMS249v1 Efficiency and Cost Reduction None Appropriate Use of Healthcare Version Detail
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Children Who Have Dental Decay or Cavities CMS75v7 Community/Population Health None 378 Preventive Care Version Detail
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Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS347v2 Effective Clinical Care None 438 Management of Chronic Conditions Version Detail
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Preventive Care and Screening: Screening for Depression and Follow-Up Plan CMS2v8 Community/Population Health 0418 134 Prevention and Treatment of Opioid and Substance Use Disorders Version Detail
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Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented CMS22v7 Community/Population Health None 317 Preventive Care Version Detail
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Bone density evaluation for patients with prostate cancer and receiving androgen deprivation therapy CMS645v2 Effective Clinical Care None 462 Management of Chronic Conditions Version Detail
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Pregnant women that had HBsAg testing CMS158v7 Effective Clinical Care None 369 Preventive Care Version Detail
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Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures CMS132v7 Patient Safety 0564 192 Management of Chronic Conditions Version Detail
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Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%) CMS145v7 Effective Clinical Care 0070 007 Management of Chronic Conditions Version Detail
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Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery CMS133v7 Effective Clinical Care 0565 191 Management of Chronic Conditions Version Detail
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Adult Major Depressive Disorder (MDD): Suicide Risk Assessment CMS161v7 Effective Clinical Care 0104 107 Prevention, Treatment, and Management of Mental Health Version Detail
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Preventive Care and Screening: Influenza Immunization CMS147v8 Community/Population Health 0041 110 Preventive Care Version Detail
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Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) CMS135v7 Effective Clinical Care 0081 005 Management of Chronic Conditions Version Detail
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Dementia: Cognitive Assessment CMS149v7 Effective Clinical Care 2872 281 Prevention, Treatment, and Management of Mental Health Version Detail
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Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy CMS167v7 Effective Clinical Care 0088 018 Management of Chronic Conditions Version Detail
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Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS138v7 Community/Population Health 0028 226 Prevention and Treatment of Opioid and Substance Use Disorders Version Detail
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Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment CMS177v7 Patient Safety 1365 382 Prevention, Treatment, and Management of Mental Health Version Detail
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Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients CMS129v8 Efficiency and Cost Reduction 0389 102 Appropriate Use of Healthcare Version Detail
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Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care CMS142v7 Communication and Care Coordination 0089 019 Transfer of Health Information and Interoperability Version Detail
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Oncology: Medical and Radiation - Pain Intensity Quantified CMS157v7 Person and Caregiver-Centered Experience and Outcomes 0384 143 Management of Chronic Conditions Version Detail
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Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation CMS143v7 Effective Clinical Care 0086 012 Management of Chronic Conditions Version Detail
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Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) CMS144v7 Effective Clinical Care 0083 008 Management of Chronic Conditions Version Detail
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Childhood Immunization Status CMS117v7 Community/Population Health 0038 240 Preventive Care Version Detail
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Appropriate Testing for Children with Pharyngitis CMS146v7 Efficiency and Cost Reduction None 066 Appropriate Use of Healthcare Version Detail
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HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis CMS52v7 Effective Clinical Care 0405 160 Management of Chronic Conditions Version Detail
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Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%) CMS122v7 Effective Clinical Care 0059 001 Management of Chronic Conditions Version Detail
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Diabetes: Medical Attention for Nephropathy CMS134v7 Effective Clinical Care 0062 119 Management of Chronic Conditions Version Detail
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Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet CMS164v7 Effective Clinical Care 0068 204 Management of Chronic Conditions Version Detail
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Diabetes: Foot Exam CMS123v7 Effective Clinical Care 0056 163 Management of Chronic Conditions Version Detail
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Controlling High Blood Pressure CMS165v7 Effective Clinical Care 0018 236 Management of Chronic Conditions Version Detail
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Cervical Cancer Screening CMS124v7 Effective Clinical Care 0032 309 Preventive Care Version Detail
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Follow-Up Care for Children Prescribed ADHD Medication (ADD) CMS136v8 Effective Clinical Care 0108 366 Prevention, Treatment, and Management of Mental Health Version Detail
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Chlamydia Screening for Women CMS153v7 Community/Population Health 0033 310 Preventive Care Version Detail
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Breast Cancer Screening CMS125v7 Effective Clinical Care 2372 112 Preventive Care Version Detail
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Initiation and Engagement of Alcohol and Other Drug Dependence Treatment CMS137v7 Effective Clinical Care 0004 305 Prevention and Treatment of Opioid and Substance Use Disorders Version Detail
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Appropriate Treatment for Children with Upper Respiratory Infection (URI) CMS154v7 Efficiency and Cost Reduction 0069 065 Appropriate Use of Healthcare Version Detail
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Pneumococcal Vaccination Status for Older Adults CMS127v7 Community/Population Health None 111 Preventive Care Version Detail
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Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents CMS155v7 Community/Population Health 0024 239 Preventive Care Version Detail
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Anti-depressant Medication Management CMS128v7 Effective Clinical Care 0105 009 Prevention and Treatment of Opioid and Substance Use Disorders Version Detail
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Falls: Screening for Future Fall Risk CMS139v7 Patient Safety 0101 318 Preventable Healthcare Harm Version Detail
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Use of High-Risk Medications in the Elderly CMS156v7 Patient Safety 0022 238 Medication Management Version Detail
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Colorectal Cancer Screening CMS130v7 Effective Clinical Care 0034 113 Preventive Care Version Detail
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Maternal Depression Screening CMS82v6 Community/Population Health None 372 Prevention and Treatment of Opioid and Substance Use Disorders Version Detail
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Diabetes: Eye Exam CMS131v7 Effective Clinical Care 0055 117 Management of Chronic Conditions Version Detail
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Depression Remission at Twelve Months CMS159v7 Effective Clinical Care 0710 370 Prevention, Treatment, and Management of Mental Health Version Detail
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Depression Utilization of the PHQ-9 Tool CMS160v7 Effective Clinical Care 0712 371 Prevention, Treatment, and Management of Mental Health Version Detail
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