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Thank you for your inquiry regarding the Change Review Process for eCQMs. The Change Review Process was removed beginning with the 2025 eCQM Annual Update process. Instead, CMS posted the draft eCQMs earlier in the Annual Update cycle to allow public feedback and vendor and implementers to see potential changes in the full measure context and provide feedback earlier. For additional information on the eCQM Annual Timeline, please refer to the eCQI Resource Center: https://ecqi.healthit.gov/ecqm-annual-timeline .