Frequently Asked Questions

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The eCQM specifications are updated each year. Which year(s) specifications can/should a state accept from Medicaid providers?

Vendors are not required to update CEHRT each year to the latest specifications in order to remain certified (for more information see and Therefore, it is possible that providers will have CEHRT that produce eCQMs specified to variety of years.  States should always be able to accept the most recent version for each eCQM, but must also allow providers to report on older versions (electronically or through attestation), if that is what their CEHRT is able to produce.

For example, CMS146 (Appropriate Testing for Children with Pharyngitis) was updated to version 5 with the 2017 updates.  Because the earliest version of the eCQM that 2014 Edition CEHRT could be certified with is 2012 (CMS146v1), states must accept manual attestation from providers using 2014 Edition CEHRT who are able to produce CMS146v1-v5.  Note that each of these versions has one numerator and one denominator and therefore the logic in the state’s attestation system would not need to vary to collect different versions.  States may, but are not required to, gather information from providers about which version of the eCQM their CEHRT produces and they are reporting. If a state is collecting eCQMs electronically, the state must be able to collect the latest version (CMS146v5) and may choose how many previous versions they wish to collect.  For example, a state may decide that the previous two years of specifications will still provide useful data and therefore collect CMS146v3-5 electronically, but providers whose 2014 Edition CEHRT can only produce CMS146v1-2 would be required to attest manually. Note that the earliest eCQM specifications that 2015 Edition CEHRT could have been certified to is 2016.


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