Thank you for your inquiry regarding CMS2v14.   A Qualifying Encounter for this measure is defined as an encounter during the Measurement Period (calendar year) for which the encounter code is present in one of three value sets, "Encounter to Screen for Depression": 'urn:oid:2.16.840.1.113883.3.600.1916', "Physical Therapy Evaluation": 'urn:oid:2.16.840.1.113883.3.526.3.1022', or "Telephone Visits": 'urn:oid:2.16.840.1.113883.3.464.1003.101.12.1080,' given that the patient does not have a prior diagnosis of Bipolar Disorder. A complete list of value sets for CMS2v14 and the codes they contain can be found at https://vsac.nlm.nih.gov/valueset/expansions?pr=ecqm&rel=eCQM%20Update%202024-05-02&q=CMS2v14 . If helpful, a flowchart and written narrative for measure calculation is available through the eCQI Resource Center at https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=ecqm-resources&global_measure_group=eCQMs&globalyearfilter=2025 .   The Guidance for the measure states that screening is required once per measurement period and not at all encounters. The screen is completed on the date of the encounter, or up to 14 calendar days prior to the date of the encounter within the given measurement period, with a follow-up plan documented on the date of or up to two calendar days after the date of the encounter. It is therefore correct that the screening must be completed at the time of the encounter and is required once per year to meet measure criteria.