For the Outpatient measure, the final ruling stated that for CY 2025 would be voluntary, and that mandatory reporting would begin with CY 2027 reporting.

1. Will there be another final ruling to change this or will the above stay the same?

2. When we submit our data files for this measure, will we be able to use a CSV file, QRDA file, or both?

We had placed this question to CMS and their response was the below.  see Ticket CS2582187

Agent Response <10/22/2025 07:13:32 PM EDT>:

Thank you for contacting the Service Center.

I believe this question should be directed to the eCQM Issue Tracker within the ONC Issue Tracking System. To create an issue with the eCQM Issue Tracker, please go to the project page: https://oncprojectracking.healthit.gov/support/browse/CQM

You will need to be logged in with an ONC Issue Tracking System account. To create an account, please navigate to https://oncprojectracking.healthit.gov/support/secure/Signup!default.jspa. Once your account has been created, you will receive an email for setting up your login credentials. Once you have logged in, you will be able to create a ticket on the eCQM Issue Tracker project.

It is our policy to resolve these tickets within three business days.

Please reply with any additional questions.

Best Regards,

Jamie Scott

Advanced Support Team

The CCSQ Service Center