Eligible Clinician eCQMs

2026 Performance Period Eligible Clinician Resources for eCQMs

eCQM Resources	Short Description	Published
Implementation Checklist eCQM Annual Update	Implementation checklist The eCQM Implementation Checklist provides the necessary technical steps health information technology developers, implementers, and health care organizations must take to update their systems and processes with the eCQM Annual Update for the upcoming reporting and performance periods. The most recent eCQM Annual Update should be applied to your system for use in electronic quality reporting.	May 2025
Telehealth Guidance for eCQMs for Eligible Clinician Quality Reporting	List of telehealth eligibility of eligible clinician eCQMs This document provides supplemental information related to the allowance of telehealth encounters for eligible clinician eCQMs.	May 2025
Guide for Reading eCQMs	Assists implementers and measured entities with information on how to read eCQM specifications The Guide for Reading eCQMs is a resource to help measured entities, including clinicians, providers, hospitals, quality analysts, implementers, and health information technology vendors, understand eCQMs. The Guide provides background on eCQM packages, which are the building blocks of eCQMs, and an overview for a user to understand the human-readable format of eCQMs. The Guide also provides information related to file naming convention, value sets, QDM data criteria, and more.	May 2025
Eligible Clinicians Table of eCQMs	List of eCQMs available for use This table contains a list of eCQMs that measured entities may use to electronically report clinical quality measure data to CMS for a given quality program’s performance period.	May 2025
eCQM Specifications for Eligible Clinicians	eCQM technical specifications This zip file contains individual zip files for each eCQM that may be used to report clinical quality measure data to CMS. Each individual zip file contains html, xml, cql, and json technical specifications for use with a specific eCQM version for a given quality program’s performance period.	May 2025
eCQM and Hybrid Measure Value Sets	Value sets used with eCQMs and Hybrid Measures The eCQM and hybrid measure value sets specify terminology codes such as ICD-10-CM/PCS, CPT, SNOMED CT, required for use with each eCQM or hybrid measure.	May 2025
eCQM Direct Reference Codes List	eCQM Direct Reference Codes used in eCQMs The eCQM Direct Reference Codes List is a list of direct reference codes (DRCs) used in eCQMs or hybrid measures for a given quality program’s reporting/performance period. These codes are referenced directly in the logic to describe a data element or one of its attributes. The list includes the description of the code, the code system from which the code is derived, and the version of that code system.	May 2025
Binding Parameter Specification (BPS)	Value set metadata The value set Binding Parameter Specification (BPS) is a record of the value set metadata that defines the code lists specified by current CMS eCQMs and hybrid measures. Measure implementers and vendors use the BPS to track versions and other parameters that define the code lists for each eCQM or hybrid measure for each Annual Update.	May 2025
eCQM Logic and Implementation Guidance	Assists implementers and measured entities with how to use eCQMs and report issues The eCQM Logic and Implementation Guidance is a resource that provides guidance for understanding, using, and/or implementing eCQMs.	May 2025
Standards and tool versions used for reporting/performance period	Tools and standards versions measure developers used to create eCQMs and versions of standards and tools used for their reporting The standards and tools versions listed for each reporting/performance period are the versions used to create and/or support the implementation of the specific reporting/performance period specifications.	May 2025
CQMCommonQDM Library Technical Specifications	CQMCommonQDM Library Specifications This zip file contains the CQMCommonQDM Library html, xml, cql, and json files for use with eCQMs for a given quality program's reporting/performance period.	May 2025
CQMCommonQDM Library Technical Release Notes	Year over year changes to the CQMCommonQDM Library The CQMCommonQDM Library Technical Release Notes are resource files which provide an overview of technical changes to the CQMCommonQDM Library used in development of eCQMs.	May 2025
Technical Release Notes	Year over year changes to eCQMs, including logic and terminology The Technical Release Notes are resource files which provide an overview of technical changes, e.g., logic and terminology, to each eCQM in the most recent eCQM Annual Update for the CMS performance period.	May 2025
Technical Release Notes	Year over year changes to eCQMs, including logic and terminology The Technical Release Notes are resource files which provide an overview of technical changes, e.g., logic and terminology, to each eCQM in the most recent eCQM Annual Update for the CMS performance period.	May 2025
eCQM Annual Update Pre-Publication Document	Standards and code system versions for the eCQM Annual Update The eCQM Annual Update Pre-Publication Document describes the versions of the standards and code systems used in conjunction with the updated eCQMs for potential use in CMS programs. It is designed to help health information technology/electronic health record developers, Eligible Clinicians, and Eligible Hospitals/Critical Access Hospitals prepare for reporting through transparent pre-release of the expected standards and code system versions.	Mar 2025

The 2026 Performance Period has 47 Eligible Clinician eCQMs:

Title	CMS eCQM ID	CBE ID*	MIPS Quality ID	Telehealth Eligible	Notes
Antidepressant Medication Management	CMS128v14	Not Applicable	009	Yes
Appropriate Testing for Pharyngitis	CMS146v14	Not Applicable	066	Yes
Appropriate Treatment for Upper Respiratory Infection (URI)	CMS154v14	Not Applicable	065	Yes
Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Deprivation Therapy	CMS645v9	Not Applicable	462	Yes
Breast Cancer Screening	CMS125v14	Not Applicable	112	Yes
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery	CMS133v14	0565e	191	No
Cervical Cancer Screening	CMS124v14	Not Applicable	309	Yes
Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment	CMS177v14	Not Applicable	382	Yes
Childhood Immunization Status	CMS117v14	Not Applicable	240	Yes
Children Who Have Dental Decay or Cavities	CMS75v14	Not Applicable	378	No
Chlamydia Screening in Women	CMS153v14	Not Applicable	310	Yes
Closing the Referral Loop: Receipt of Specialist Report	CMS50v14	Not Applicable	374	Yes
Colorectal Cancer Screening	CMS130v14	Not Applicable	113	Yes
Controlling High Blood Pressure	CMS165v14	Not Applicable	236	Yes
Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF less than or equal to 40%)	CMS145v14	0070e	007	Yes
Dementia: Cognitive Assessment	CMS149v14	2872e	281	Yes
Depression Remission at Twelve Months	CMS159v14	0710e	370	Yes
Diabetes: Eye Exam	CMS131v14	Not Applicable	117	Yes
Diabetes: Glycemic Status Assessment Greater Than 9%	CMS122v14	Not Applicable	001	Yes
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care	CMS142v14	Not Applicable	019	No
Documentation of Current Medications in the Medical Record	CMS68v15	Not Applicable	130	Yes
Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography (CT) in Adults (Clinician Level)	CMS1056v3	3633e	494	No	Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography in Adults eCQM-Measure Clarification
Falls: Screening for Future Fall Risk	CMS139v14	Not Applicable	318	Yes
Follow-Up Care for Children Prescribed ADHD Medication	CMS136v15	Not Applicable	366	Yes
Functional Status Assessment for Total Hip Replacement	CMS56v14	Not Applicable	376	Yes
Functional Status Assessments for Heart Failure	CMS90v15	Not Applicable	377	Yes
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)	CMS135v14	0081e	005	Yes
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)	CMS144v14	0083e	008	Yes
HIV Annual Retention in Care	CMS1157v2	Not Applicable	340	Yes
HIV Screening	CMS349v8	Not Applicable	475	Yes
HIV Viral Suppression	CMS314v3	Not Applicable	338	Yes
Initiation and Engagement of Substance Use Disorder Treatment	CMS137v14	Not Applicable	305	Yes
Intravesical Bacillus-Calmette-Guerin for Non-Muscle Invasive Bladder Cancer	CMS646v6	Not Applicable	481	No
Kidney Health Evaluation	CMS951v4	Not Applicable	488	Yes
Oncology: Medical and Radiation - Pain Intensity Quantified	CMS157v14	0384e	143	Yes
Preventive Care and Screening Body Mass Index (BMI) Screening and Follow Up Plan	CMS69v14	Not Applicable	128	No
Preventive Care and Screening Screening for High Blood Pressure and Follow Up Documented	CMS22v14	Not Applicable	317	No
Preventive Care and Screening: Screening for Depression and Follow-Up Plan	CMS2v15	Not Applicable	134	Yes
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS138v14	Not Applicable	226	Yes
Primary Caries Prevention Intervention as Offered by Dentists	CMS74v15	Not Applicable	379	No
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation	CMS143v14	0086e	012	No
Prostate Cancer Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients	CMS129v15	Not Applicable	102	No
Sexually Transmitted Infection (STI) Testing for People with HIV	CMS1188v3	3755e	205	Yes
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS347v9	Not Applicable	438	Yes
Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia	CMS771v7	Not Applicable	476	No
Use of High-Risk Medications in Older Adults	CMS156v14	Not Applicable	238	Yes
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents	CMS155v14	Not Applicable	239	Yes

Each year, CMS updates the electronic clinical quality measures (eCQMs) for potential use in CMS quality reporting programs and publishes them on the eCQI Resource Center. CMS updates the specifications annually to align with current clinical guidelines and code systems so they remain relevant and actionable within the clinical care setting. CMS requires the use of the most current version of the eCQMs as specified and intended for the applicable performance periods for all quality reporting programs.

CMS defines the performance period for eligible clinicians as the measure data capture period of the calendar year between January 1 and December 31. Eligible clinicians are to use the updated eCQMs to electronically report 2026 clinical quality measure data for CMS quality reporting programs.

Some of the eCQMs listed on the Eligible Clinician eCQMs table are available for reporting in Traditional Merit-based Incentive Payment System (MIPS) and/or MIPS Value Pathways (MVPs). The eCQI Resource Center will not differentiate these eCQMs for specific CMS quality reporting programs until CMS proposes and finalizes them through notice-and-comment rulemaking for each applicable program. For clinician reporting guidance including the MIPS, MVP, Accountable Care Organization Primary Care Flex, Medicare Shared Saving Program and the Primary Care First models, visit the Quality Payment Program website and the Quality Payment Program Resource Library.

Submit questions on the technical aspects of eCQMs to the ASTP/ONC Project Tracking System (Jira) eCQM Issue Tracker.

Find Information regarding reporting exceptions here.

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