For the eCQM metric: Screening for Depression and Follow-up: We understand that CMS allows any type of clinically appropriate screening tool to be used. In our organization we utilize the PHQ2 and PHQ9. From the research we have looked into, it appears that scoring 10+ is appropriate to be considered “positive,” therefore needing the follow-up documentation. When looking at 2026 NCQA/HEDIS Measure Tech specs, a positive depression screen is defined as a score of ≥ 10 on the PHQ-9. CMS eCQM specifies that each standardized screening tool provides guidance on whether a score is considered positive. So CMS defers to the tool’s validated cutoff score. When following the National Quality Forum clinical guidance, that would be ≥ 10. The question: Is it appropriate for us to set a PHQ-9 positive score ≥ 10 which then will trigger the appropriate documentation needed for the f/u?