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Clinical Decision Support Mechanisms

A qualified CDSM must meet the requirements under section 1834(q)(3)(B) of the Social Security Act. Section 1834(q)(3)(C) of the Act specifies that the Secretary must publish an initial list of specified mechanisms, and that the Secretary must identify on an annual basis the list of specified qualified CDSMs. The CY 2017 PFS Final Rule established requirements and processes for specification of qualified clinical decision support mechanisms (CDSMs) under the Medicare AUC program (42 CFR sections 414.94(g)(1) and 414.94(g)(2)).

For applicants seeking CDSM qualification, applications must document current adherence to the qualified CDSM requirements under §414.94(g)(1) or, if unable to document current adherence, how and when each requirement is reasonably expected to be met. CMS has not provided an application template.

As noted in §414.94(g)(2), for applicants seeking CDSM qualification or preliminary qualification in CY 2018, applications must be submitted to by January 1, 2018. A list of qualified clinical decision support mechanisms can be found below:

Qualified Clinical Decision Support Mechanisms as of June 2018

AIM Specialty Health ProviderPortal®*
Applied Pathways CURION™ Platform
Cranberry Peak ezCDS
eviCore healthcare's Clinical Decision Support Mechanism
MedCurrent OrderWiseTM
Medicalis Clinical Decision Support Mechanism
National Decision Support Company CareSelect™*
National Imaging Associates RadMD
Sage Health Management Solutions Inc. RadWise®
Stanson Health's Stanson CDS
Test Appropriate CDSM*

Clinical Decision Support Mechanisms with Preliminary Qualification as of June 2018

Cerner CDS mechanism
Evinance Decision Support
Flying Aces Speed of Care Decision Support
Infinx CDSM
LogicNets' Decision Engines
New Century Health's CarePro
Reliant Medical Group CDSM

*Free Tool Available

Information Collections Under 42 CFR 414.94
OMB Control Number: 0938-1315
Expiration Date: 03/31/2020