Clinical Decision Support Mechanisms

Clinical Decision Support Mechanisms
NOTICE: The payment penalty phase will not begin January 1, 2023 even if the PHE for COVID-19 ends in 2022. Until further notice, the educational and operations testing period will continue. CMS is unable to forecast when the payment penalty phase will begin.

NOTICE: All CDSMs and PLEs qualified as of July 2022 will remain qualified through this cycle. Applications for initial qualification or re-qualification will not be accepted for the 2023 application cycle.


A Clinical Decision Support Mechanism (CDSM) is an interactive, electronic tool for use by clinicians that communicates appropriate use criteria (AUC) information to the user and assists them in making the most appropriate treatment decision for a patient’s specific clinical condition. They may be modules within or available through certified electronic health record (EHR) technology.

Applicants Seeking CDSM Qualification

  • Applications must document current adherence to the qualified CDSM requirements under 42 CFR 414.94(g)(1) OR how and when each requirement is reasonably expected to be met.
  • CMS has not provided an application template.
  • Send applications to by January 1.

We will post qualified CDSMs to our website. All qualified CDSMs must re-apply every five years and applications must be received by January 1 during the fifth year of their approval.

Qualified Clinical Decision Support Mechanisms and Related Codes

(Additional information regarding codes is available on our Outreach and Education page in MLN Matters Article MM11268)

Mechanism Name Code
MedCurrent OrderWise® G1002
Medicalis Clinical Decision Support Mechanism G1003
Change Healthcare CareSelect™* G1004
Cranberry Peak ezCDS G1008
Stanson Health's Stanson CDS G1010
AgileMD's Clinical Decision Support Mechanism G1012
EvidenceCare’s ImagingCare G1013
InveniQA's Semantic Answers in Medicine™ G1014
Reliant Medical Group CDSM G1015
Speed of Care CDSM G1016
LogicNets AUC Solution G1019
Curbside Clinical Augmented Workflow     G1020
E*HealthLine Clinical Decision Support Mechanism     G1021
Intermountain Clinical Decision Support Mechanism     G1022
Persivia Clinical Decision Support     G1023
Radrite* G1024
OmniScient ® G1011
Optum CDSM G1011
*Free Tool Available
Information Collections Under 42 CFR 414.94
OMB Control Number: 0938-1315
Expiration Date: 03/31/2020


Page Last Modified:
09/11/2023 06:35 AM