TEP Currently Accepting Nominations

 

Technical Expert Panels: Currently Accepting Nominations Link

This page serves as the designated site that is used to solicit nominations for technical expert panel members for CMS measure development and maintenance contractors.   Individuals with expertise in the relevant fields including clinicians, statisticians, quality improvement, methodologists, and pertinent measure developers, as well as consumers, are encouraged to submit nominations.  Person and family membership on TEPs is a very important part of the measure development process. TEP members are chosen to provide input to the measure contractor based on their personal experience and training. It is critical to the success that TEP members represent a diversity of perspectives and backgrounds.

TEPs Accepting Nominations: 

 

Project Title:Development of Days at Home Quality Measure

Dates:

The TEP nomination period opens on December 9, 2019 and closes on January 9, 2020. Submit all nomination materials by the closing date.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS), through its Center for Medicare and Medicaid Innovation (CMMI), has contracted Yale New Haven Health Services Corporation Center for Outcomes Research and Evaluation (CORE) to develop a claims-based quality measure related to days at home for patients with complex, chronic conditions. The contract name is Quality Measure Development and Analytic Support, Base Year. The contract number is HHSM-75FCMC18D0042. As part of its measure development process, CORE convenes groups of stakeholders and experts who contribute direction and thoughtful input during measure development and maintenance.

Project Objectives:

The primary goal of this project is to gather expert and stakeholder input to inform development of a “Days at Home” measure for patients with complex, chronic conditions for implementation in CMMI models. CMS will use the measures to evaluate the quality of care provided by MIPS-eligible clinicians, clinician groups, and accountable care organizations (ACOs) in select payment models, including the Primary Care First Model and the Direct Contracting Model.

TEP Requirements:

CORE is seeking a TEP of approximately 15-18 individuals with differing perspectives and areas of expertise.

Subject matter expertise:

The CMMI measure applies to many types of clinicians. The measure for this project will assess the quality of care for patients with complex, chronic diseases. CORE is therefore seeking involvement of individuals with experience in the following settings or who have the following areas of expertise:

  • Clinicians practicing in individual practice, small group practice settings, or ACOs as well as clinicians practicing in rural communities and/or federally qualified health centers.
  • Clinicians, including but not limited to home health providers, nurse practitioners, physician assistants, physical therapists, occupational therapists, and case managers, with experience caring for patients living at home with complex, chronic conditions.
  • Diverse clinical experts from multiple specialties that provide care to patient populations with chronic conditions, including but not limited to:
    • Primary care physicians, including internists;
    • Hospitalists;
    • Palliative care and hospice providers;
    • Geriatricians;
    • Nephrologists;
    • Cardiologists;
    • Pulmonologists;
    • Oncologists; or
    • Emergency medicine providers.
  • Healthcare consumers, patients with complex chronic conditions and experience with home health care, or family and caregivers of a patient with chronic disease.
  • Experts in healthcare disparities.
  • Experts in performance measurement.
  • Experts in quality improvement.
  • Healthcare purchasers.
  • Individuals from professional societies.

Potential TEP members should understand that participation is voluntary and that their input will be recorded in the meeting minutes. Proceedings of the TEP will be summarized in a report that may be disclosed to the public. If a participant has chosen to disclose private, personal data, then related material and communications are not deemed to be covered by patient-provider confidentiality. Patient/caregiver participants may elect to keep their names confidential in public documents. CORE will answer any questions about confidentiality.

All potential TEP members must disclose any current and past activities that may pose a potential conflict of interest for performing the tasks required of the TEP. All potential TEP members should be able to commit to the anticipated time frame needed to perform the functions of the TEP.

Patient Nominees:

CORE is seeking patients to participate on a TEP. We are seeking patients, patient advocates, and caregivers who have direct experience with care related to chronic conditions to join the TEP. Patients who have experience with complex, chronic conditions can provide unique and essential input on quality measures based on their own experience and perspective. Patient nominees should submit a completed and signed TEP Nomination Form and letter of interest as described below but are not required to submit a curriculum vitae.

TEP Expected Time Commitment:

TEP members will meet via teleconference one to two times through September 2020. Teleconference meetings will last approximately two hours, with an estimated one-hour of preparation (as in, reviewing documentation). TEP members will be expected to complete any brief follow-up surveys, if needed.

Required Information:

A completed and signed TEP Nomination Form located in the download section below.

The nomination form includes a consent and confidentiality statement.

A letter of interest (not to exceed two pages) highlighting experience/knowledge relevant to the expertise described above and involvement in measure development. Consumer/patient/family (caregiver) applicants/nominees are not expected to have experience in measure development.

Curriculum vitae or a summary of relevant experience for a maximum of 10 pages. Consumer/patient/family (caregiver) applicants/nominees are not required to submit a curriculum vitae.

The TEP Nomination form and proposed TEP Charter are found in the download section below.

If you wish to nominate yourself or other individuals for consideration, complete the form and email it to: CMMIDaysAtHomeMeasure@yale.edu.

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Project Title: Physician Cost Measures and Patient Relationship Codes (PCMP) - Technical Expert Panel

Dates:

The Technical Expert Panel (TEP) nomination period opens on November 26, 2019 and closes on December 20, 2019 at 11:59 PM ET. Submit all nomination materials by the closing date.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with Acumen, LLC to develop care episode and patient condition groups for use in risk-adjusted cost measures to meet the requirements of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The contract name is “Physician Cost Measures and Patient Relationship Codes (PCMP).” The contract number is 75FCMC18D0015, Task Order 75FCMC19F0004. This project is a continuation of the work performed under the previous “MACRA Episode Groups and Resource Use Measures” contract (contract number HHSM-500-2013-13002I and the Task Order HHSM-500-T0002). 

As part of its measure development process, Acumen convenes groups of stakeholders and experts who contribute direction and thoughtful input during measure development and maintenance. Acumen also recruits patients, caregivers, and patient advocates to ensure that the patient and caregiver perspective informs measure prioritization and development. This Call for TEP is separate from the Call for Clinical Subcommittees, which Acumen convenes to gather input on measures in specific clinical areas.

Project Objectives:

The project’s overall objectives are to develop, maintain, and implement:

  • Episode-based cost measures for use in the Merit-Based Incentive Payment System (MIPS)
  • Patient relationship categories (PRC) and codes
  • Population-based cost measures for MIPS and the Hospital Value-based Purchasing (H-VBP) program
  • The TEP will aid in these project objectives by providing input and guidance on:
  • The episode-based cost measures including measure prioritization and framework
  • The evaluation and testing of PRCs
  • Maintenance and re-evaluation of the MSPB Hospital, MSPB Clinician, and TPCC measures

TEP Requirements:

Acumen convened a TEP in 2016 to inform the measure development activities performed under the “MACRA Episode Groups and Resource Use Measures” contract. We greatly appreciate the valuable input provided by this TEP over the course of that project, and encourage all members of the previous TEP who wish to continue to engage in measure development to submit a nomination to this TEP. Acumen has opted to convene this new TEP for the “Physician Cost Measures and Patient Relationship Codes (PCMP)” contract in order to provide ongoing opportunities for engagement with the measure development community, and to include members who offer additional areas of expertise required to inform the activities under the new contract.

We are seeking a TEP of 15-20 individuals with differing perspectives and areas of expertise, such as:

  • Person and family perspective (i.e., patients, caregivers and patient advocates)
  • Clinician and hospital payment policy
  • Cost and quality measurement
  • Pay-for-performance and quality improvement
  • Hospital administration
  • Clinician healthcare delivery perspective
  • Research methodology, including risk adjustment
  • Hospital Value-Based Purchasing
  • Purchaser/insurer perspective

Potential TEP members should understand that participation is voluntary and that their input will be recorded in the meeting minutes. Proceedings of the TEP will be summarized in a report that may be disclosed to the public. If a participant has chosen to disclose private, personal data, then related material and communications are not deemed to be covered by patient-provider confidentiality. Patient/caregiver participants may elect to keep their names confidential in public documents. Acumen, LLC will answer any questions about confidentiality.

All potential TEP members must disclose any current and past activities that may pose a potential conflict of interest for performing the tasks required of the TEP. All potential TEP members should be able to commit to the anticipated time frame needed to perform the functions of the TEP.

Patient Nominees:

Acumen is seeking patients to participate on a TEP. We are seeking patients who are enrolled in Medicare and have experience in patient advocacy to join the TEP. Patients with this experience can provide unique and essential input on cost measures based on their own experience and perspective. Patient nominees should complete the online TEP nomination form and submit a letter of interest as described below, but are not required to submit curriculum vitae.

TEP Expected Time Commitment:

  • The TEP is expected to meet twice annually until 2024. The first meeting for this TEP is a two-day, in-person meeting in Washington, DC on February 6-7, 2020.
  • Membership to this standing TEP would last the duration of the contract.
  • In future years, meetings may be held in-person or via webinar.

Required Information:

Nominees are expected to submit a completed online TEP nomination form. As part of this form, nominees are required to upload the following:

  • A letter of interest (not to exceed two pages) highlighting experience/knowledge relevant to the expertise described above and involvement in measure development.
  • Curriculum vitae or a summary of relevant experience for a maximum of 10 pages. Consumer/patient/family (caregiver) applicants/nominees are not required to submit a curriculum vitae.

If you wish to nominate yourself or other individuals for consideration, please complete the online nomination form by December 20, 2019, at 11:59PM ET.

A PDF copy of the proposed TEP Charter can be found in the download section at the bottom of this webpage. If you would like to receive a 508-compliant PDF version of the nomination form for submission via email instead of the web-based form linked above, please email macra-tep-support@acumenllc.com to receive a blank form.

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Project Title: Maternal Morbidity electronic clinical quality measure (eCQM)

Dates:

The Technical Expert Panel (TEP) nomination period opens on November 20, 2019 and closes on December 20, 2019. Submit all nomination materials by the closing date.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with Yale New Haven Health Services Corporation – Center for Outcomes Research and Evaluation (CORE) to develop a measure of maternal morbidity. The contract name is Development, Reevaluation, and Implementation of Outcome/Efficiency Measures for Hospital and Eligible Clinicians, Base Period. The contract number is HHSM-75FCMC18D0042, Task Order Number HHSM-75FCMC19F0001. As part of its measure development process, CORE convenes groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance.

Project Objectives:

The primary goal of this project is to develop an electronic health record (EHR)-based outcome measure used to evaluate hospital-level quality of maternal care for women hospitalized for delivery.

TEP Requirements:

We are seeking a TEP of approximately 15 individuals with differing perspectives and areas of expertise, such as:

Subject matter expertise:

Maternal Morbidity and Mortality

Electronic capture of medical record data

Consumer/patient/family (caregiver) perspective

Healthcare disparities

Performance measurement

Quality improvement

Purchaser perspective

Potential TEP members should understand that participation is voluntary and that their input will be recorded in the meeting minutes. Proceedings of the TEP will be summarized in a report that may be disclosed to the public. If a participant has chosen to disclose private, personal data, then related material and communications are not deemed to be covered by patient-provider confidentiality. Patient/caregiver participants may elect to keep their names confidential in public documents. CORE will answer any questions about confidentiality.

All potential TEP members must disclose any current and past activities that may pose a potential conflict of interest for performing the tasks required of the TEP. All potential TEP members should be able to commit to the anticipated time frame needed to perform the functions of the TEP.

Patient Nominees:

CORE is seeking patients to participate on a TEP. We are seeking patients who have experience with maternal morbidity to join the TEP. Patients who have experience with maternal morbidity can provide unique and essential input on quality measures based on their own experience and perspective. Patient nominees should submit a completed and signed TEP Nomination Form and letter of interest as described below but are not required to submit a curriculum vitae.

TEP Expected Time Commitment:

CORE anticipates holding our first meeting in February 2020. This will be an in-person meeting held in Baltimore, Maryland. Members will also be expected to participate in one or more follow-up teleconference meetings after March 2020. Teleconference meetings will last between one to two hours. TEP members will review materials provided in advance of meetings and complete any online surveys.

Required Information:

A completed and signed TEP Nomination form located in the download section below.

The nomination form includes a consent and confidentiality statement.

A letter of interest (not to exceed 2 pages) highlighting experience/knowledge relevant to the expertise described above and involvement in measure development. Consumer/patient/family (caregiver) applicants/nominees are not expected to have experience in measure development.

Curriculum vitae or a summary of relevant experience for a maximum of 10 pages. Consumer/patient/family (caregiver) applicants/nominees are not required to submit a curriculum vitae.

The Nomination forms and proposed TEP Charter are found in the download section below.

If you wish to nominate yourself or other individuals for consideration, complete the TEP Nomination form and email it to: CMSmaternalmeasures@yale.edu.

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Project Title: Patient Safety Measure Development and Maintenance

Dates:

The TEP nomination period opens on November 1, 2019 and closes on December 13, 2019. Submit all nomination materials by the closing date.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with IMPAQ International, LLC to develop and maintain Patient Safety Measures of Hospital Harms for falls, post-operative bleeding, and diagnostic errors for CMS quality and payment programs such as the Hospital Inpatient Quality Reporting (HIQR) Program and the Hospital Acquired Conditions Reduction Program (HACRP). The contract name is Measure & Instrument Development and Support (MIDS) Patient Safety Measure Development and Maintenance. The contract number is 75FCMC18D0027. As part of its measure development process, IMPAQ convenes groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance.

Project Objectives:

  • To improve patient safety and reduce or eliminate hospital-acquired conditions (HACs);
  • To evaluate and address performance gaps, identify and incentivize opportunities for improvement; and,  
  • To develop, maintain, reevaluate, and implement patient safety measures, including electronic clinical quality measures (eCQMs) for falls, post-operative bleeding, and diagnostic errors for CMS’ hospital-level quality reporting programs.

TEP Requirements:

We are seeking a TEP of approximately 12-15 individuals including representatives from provider groups impacted by the measures and their professional organizations, other stakeholders, consumers and other users, quality alliances, medical or specialty societies, measure developers, accrediting organizations, and public and private payers with differing perspectives and areas of Subject Matter Expertise (SME) such as:

  • One or more individuals with expertise in patient safety
  • One or more individuals with expertise with drug adverse events
  • One or more individuals with expertise in healthcare disparities
  • One or more individuals with expertise in performance measurement
  • One or more individuals with expertise in quality improvement
  • One or more individuals with experience representing the consumer and patient perspective
  • One or more individuals with experience representing the family and caregiver perspective
  • One or more currently practicing acute care inpatient clinicians specializing in various disciplines
  • One or more individuals with inpatient nursing and/or nursing management experience
  • One or more individuals with expertise in electronic health record (EHR) systems
  • One or more individuals with expertise in clinical standards and ontologies used to capture data within EHR systems

Potential TEP members must be aware that participation on the TEP is voluntary. As such, individuals wishing to participate on the TEP should understand that their input will be recorded in the meeting minutes. Proceedings of the TEP will be summarized in a report that is disclosed to the general public. If a participant has disclosed private, personal data by his or her own choice, then that material and those communications are not deemed to be covered by patient-provider confidentiality. If patient participants (only) wish to keep their names confidential, that request can be accommodated. Any questions about confidentiality will be answered by the TEP organizers.

All potential TEP members must disclose any current and past activities that may pose a potential conflict of interest for performing the tasks required of the TEP. All potential TEP members should be able to commit to the anticipated time frame needed to perform the functions of the TEP.

Patient Nominees:

IMPAQ International is seeking patients to participate on a TEP. We are seeking patients who have experience with patient safety and quality of care within the acute care inpatient hospital setting to join the TEP. Patients who have experience with patient safety and quality of care within the acute care inpatient hospital setting can provide unique and essential input on quality measures based on their own experience and perspective. Patient nominees should submit a completed and signed TEP Nomination Form and letter of interest as described below but are not required to submit a curriculum vitae.

TEP Expected Time Commitment:

The TEP members will hold a minimum two-year term with an optional two-year extension. The TEP will meet by teleconference or videoconference 4-8 times annually for approximately two hours each. There will be approximately 1 hour of pre-work and 1-hour of post-work per scheduled meeting. The total time commitment of approximately 16-32 hours per year. 

Required Information:

  • A completed and signed TEP Nomination form located in the download section below.
  • The nomination form includes a consent and confidentiality statement.
  • A letter of interest (not to exceed two pages) highlighting experience/knowledge relevant to the expertise described above and involvement in measure development. Consumer/patient/family (caregiver) applicants/nominees are not expected to have experience in measure development.
  • Curriculum vitae or a summary of relevant experience for a maximum of 10 pages. Consumer/patient/family (caregiver) applicants/nominees are not required to submit a curriculum vitae.
  • The Nomination forms and proposed TEP Charter are found in the download section below. If you wish to nominate yourself or other individuals for consideration, complete the form and email it to: PatientSafetyMeasures@impaqint.com

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Project Title: MACRA Episode-Based Cost Measures – Clinical subcommittee

Dates:

The nomination period for four Clinical Subcommittees opens in March and closes on April 12, 2019, at 11:59 pm EST. Please submit all nomination materials before the closing date.

We will, however, continue to accept nominations on a continual basis after this date; nominees who submit their information after this date will enter a standing pool of nominees who may be selected for participation in condition- or procedure-specific workgroups that will be convened within each Subcommittee.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with Acumen, LLC to develop care episode and patient condition groups for use in cost measures to meet the requirements of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The contract name is “MACRA Episode Groups and Cost Measures.” The contract number is HHSM-500-2013-13002I, Task Order HHSM-500-T00002. As part of the development and maintenance processes, Acumen, LLC convenes groups of stakeholders and experts who contribute direction and thoughtful input during development of episode-based cost measures.

Project Objectives:

The project’s overall objective is to develop episode-based cost measures suitable for potential use in the Quality Payment Program. For more details about the project background, including development activities undertaken in previous years, please see this summary (PDF) on the MACRA Feedback Page.

Acumen’s measure development approach is to convene clinician expert panels called Clinical Subcommittees (CS) focused on particular clinical areas in cycles of development (“waves”). In Wave 3 beginning in 2019, Acumen is convening the following:

  • Three CS to develop procedural and acute inpatient medical condition episode based cost measures in the following clinical areas: Dermatologic Disease Management; General and Colorectal Surgery; and Hospital Medicine.
  • A new Chronic Condition and Disease Management CS to develop episode-based cost measures for chronic conditions. This is the first opportunity to contribute to the development of episode-based chronic condition cost measures for potential use in the Quality Payment Program.

All members who submit their nomination materials by the deadline and who are accepted to a Clinical Subcommittee will attend the first meeting.

  • The Clinical Subcommittee is a large body of clinicians that will meet during the last week of May 2019. Members of the Chronic CS and Dermatologic CS will meet in-person in Washington, D.C., while members of the other CS will meet via an online webinar. (Exact dates for each Subcommittee are available on the nomination form.)
  • The purpose of the initial CS meetings is to: (i) select which episode-based cost measure to develop, (ii) discuss the measure intent, and (iii) provide input on the desired composition of the workgroup that will build out the selected measure.
  • In addition to these topics, the Chronic CS will also consider and provide input on the basic framework of chronic condition episode groups, including logic for opening (or “triggering”) an episode and attributing episodes to clinicians.

After these initial meetings, we will then create smaller measure-specific workgroups within each Clinical Subcommittee based on input from the Clinical Subcommittee about which episode-based cost measure(s) to develop and the recommended composition of the workgroups.

  • The workgroups will include approximately 15 members whose specialty, expertise, or experience is aligned with the focus of the selected episode-based cost measure and the workgroup composition criteria discussed by the Subcommittee during the first meeting.
  • The workgroups will be composed from within the membership of the Clinical Subcommittee, as well as the standing pool of nominees where necessary.
  • Workgroup members will attend an in-person meeting in Washington DC in August 2019 (exact dates to be determined) and provide detailed input on each component of the episode-based cost measure.

List of Subcommittees Participating in Wave 3:

The list below presents the list of Subcommittees that we are recruiting for through this Call for Nominations. Below each Subcommittee, we list the episode groups in that Subcommittee’s clinical area that have been previously recommended for development by clinician stakeholders. However, this list is not limiting; Subcommittees may recommend additional episode groups.

  • Chronic Condition and Disease Management
  1. Chronic Kidney Disease
  2. Chronic Liver Disease
  3. Chronic Obstructive Pulmonary Disease
  4. Diabetes
  5. Heart Failure
  6. Inflammatory Bowel Disease
  7. Osteoarthritis of the Knee
  8. Peripheral Artery Disease
  • Dermatologic Disease Management
  1. Basal or Squamous Cell Carcinoma
  2. Melanoma Resection
  3. Mohs Surgery
  • General and Colorectal Surgery
  1. Cholecystectomy/Surgical Procedure for Gall Bladder Disease
  2. Colon Resection
  3. Hernia Repair (Incisional or Ventral)
  • Hospital Medicine
  1. Cellulitis
  2. Deep Vein Thrombosis
  3. Kidney and Urinary Tract Infections
  4. Pulmonary Edema
  5. Renal Failure Not Requiring Dialysis
  6. Sepsis

Returning Members

All Subcommittee and/or Workgroup members who participated in Wave 2 in 2018 and are interested in continuing with Wave 3 of cost measure development must indicate their interest in an abbreviated nomination form shared directly with members via email. Existing members do not need to submit their nomination via the public nomination form. Please contact the Acumen measure development team if you did not receive an email.

Subcommittee members who participated in Wave 1 but not Wave 2 should fill out the public nomination form to ensure we have the most recent information.

Future Clinical Subcommittees

If you would like to be a part of a Clinical Subcommittee, but do not practice in any of the clinical areas we are recruiting for above, there may be future waves in which we convene additional Clinical Subcommittees. If you are interested in receiving updates regarding any of these future Subcommittees, please provide your contact information on the MACRA Clinical Subcommittee Mailing List form.

List of Clinicians we are Recruiting

We are recruiting physicians, physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, physical therapists, occupational therapists, speech-language pathologists, audiologists, nurse midwives, clinical social workers, clinical psychologists, dietitians, nutritional professionals, and other clinicians with experience in the clinical areas listed above.

If you are not one of the clinician types listed above but believe your input would be valuable for the Wave 3 Subcommittees, we encourage you to apply.

Desired Qualifications of Clinical Subcommittee Members:

  • Medical credentials relevant to the types of clinicians listed above
  • Familiarity with medical coding (ICD-10, CPT/HCPCS, DRG)
  • Board-certified or other professional certifications, as applicable
  • Experience treating Medicare patients

Expected Time Commitment:

Tasks for All Clinical Subcommittee Members

  • Review preparatory materials shared ahead of the meeting and complete pre-meeting survey
  • Chronic CS and Dermatologic CS: Attend 1 day-long meeting for each CS in the last week of May 2019
  • All Other CS: Attend 1 webinar for each CS in May 2019 (exact dates for each Subcommittee are available on the nomination form)

Tasks for Workgroup Members Only

  • Review preparatory materials shared ahead of the meeting and complete pre-meeting survey
  • Attend 1 day-long in-person meeting for workgroup members only for episode group specification in Washington, D.C. in August 2019 (exact dates will be determined taking into consideration workgroup member availability)

Required Information:

Nominees are required to submit a completed MACRA Clinical Subcommittee Nomination Form. As part of this form, nominees are required to upload (i) a letter of interest (not to exceed two pages) highlighting experience/knowledge relevant to the expertise described above and involvement in measure development, and (ii) a current curriculum vitae or summary of relevant experience. If you wish to nominate yourself or other individuals for consideration, please complete the form by April 12, 2019, at 11:59 pm EST.

Contact Information:

If you would like to receive additional information on the CS nomination and measure development processes, or if you have any questions about the Clinical Subcommittees, the nomination process, or this project generally, please email macra-clinical-committee-support@acumenllc.com.

A PDF copy of the draft charter for the Wave 3 Clinical Subcommittees is included in the Downloads section at the bottom of this webpage. If you would like to receive a 508-compliant PDF version of the nomination form for submission via email instead of the web-based form linked above, please email macra-clinical-committee-support@acumenllc.com to receive a blank form.

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