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eCQM Library

Annual Updates to eCQM Specifications

Each year, the Centers for Medicare & Medicaid Services (CMS) updates the electronic Clinical quality measures (eCQMs) for potential inclusion in CMS quality reporting programs. CMS requires the implementation and use of the updates because they include new codes, logic corrections and clarifications.

The eCQMs and supporting materials for their implementation are now located on the electronic clinical quality improvement (eCQI) Resource Center

*Eligible Clinicians refers to clinicians who are eligible to participate in the Quality Payment Program through the Merit-based Incentive Payment System (MIPS) and similar participants of other CMS programs using eCQM’s for quality reporting such as Alternative Payment Model (APM) participants.

The CMS Quality Reporting Document Architecture (QRDA) Implementation Guides, Schematrons, and Sample Files for Reporting of eCQMs are now located on the eCQI Resource Center.

For Assistance:

For questions related to:

  •  eCQM implementation specifications, logic, data elements, standards, or tools, please go to JIRA (online tacking tool):
  • The Medicare and Medicaid EHR Incentive Program (“Meaningful Use”) please contact the QualityNet Help Desk at or call (866) 288-8912, Monday through Friday 7 a.m. - 7 p.m. CT
  • The Quality Payment Program, please contact the Quality Payment Program Service Center at or (866) 288-8292 (TTY: 1-877-715-6222), Monday—Friday from 8:00 a.m. - 8:00 p.m. ET.
  • Hospital Inpatient Quality Reporting (IQR) Program requirements, policy, and alignment, submit questions to the Inpatient Support Team via the Q&A Tool at or (844) 472-4477, Monday—Friday from 8:00 a.m. - 8:00 p.m. ET.