Thank you for your inquiry for CMS138v11, Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention. Please refer to this resource available on the eCQI Resource Center ( https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=0): "2023 Quality Benchmarks" ( https://qpp-cm-prod-content.s3.amazonaws.com/uploads/2272/2023%20Quality%20Benchmarks.zip), which includes information on what CMS uses to calculate MIPS measure scores. The “2023 Multiple Performance Rate Measures” spreadsheet indicates that the 2nd performance rate of CMS138v11 is used for benchmarking. Further questions regarding CMS quality reporting can be submitted to the corresponding helpdesks: https://ecqi.healthit.gov/contact .