CMS 506 - OPI 1: safe use of opioids

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
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      Thank you for your question regarding CMS506v7, Safe Use of Opioids - Concurrent Prescribing. For "Treatment for Opioid Use Disorders," the logic looks for medications from the "Medications for Opioid Use Disorder (MOUD)" value set (OID 2.16.840.1.113762.1.4.1046.269) that are active or ordered during the day of encounter along with an intervention from the "Opioid Medication Assisted Treatment (MAT)" value set (OID 2.16.840.1.113762.1.4.1111.177) during the day of encounter. Please see below for the relevant measure logic:
       

      Treatment for Opioid Use Disorders

      ( ["Medication, Active": "Medications for Opioid Use Disorder (MOUD)"]
        union ["Medication, Order": "Medications for Opioid Use Disorder (MOUD)"] ) MedicationTreatment
        with ["Intervention, Performed": "Opioid Medication Assisted Treatment (MAT)"] MAT
          such that Coalesce(start of Global."NormalizeInterval"(MedicationTreatment.relevantDatetime, MedicationTreatment.relevantPeriod), MedicationTreatment.authorDatetime) during day of Global."NormalizeInterval" ( MAT.relevantDatetime, MAT.relevantPeriod )
            and Coalesce(start of Global."NormalizeInterval"(MedicationTreatment.relevantDatetime, MedicationTreatment.relevantPeriod), MedicationTreatment.authorDatetime) during day of "Measurement Period"
      Show
      Thank you for your question regarding CMS506v7, Safe Use of Opioids - Concurrent Prescribing. For "Treatment for Opioid Use Disorders," the logic looks for medications from the "Medications for Opioid Use Disorder (MOUD)" value set (OID 2.16.840.1.113762.1.4.1046.269) that are active or ordered during the day of encounter along with an intervention from the "Opioid Medication Assisted Treatment (MAT)" value set (OID 2.16.840.1.113762.1.4.1111.177) during the day of encounter. Please see below for the relevant measure logic:   Treatment for Opioid Use Disorders ( ["Medication, Active": "Medications for Opioid Use Disorder (MOUD)"]   union ["Medication, Order": "Medications for Opioid Use Disorder (MOUD)"] ) MedicationTreatment   with ["Intervention, Performed": "Opioid Medication Assisted Treatment (MAT)"] MAT     such that Coalesce(start of Global."NormalizeInterval"(MedicationTreatment.relevantDatetime, MedicationTreatment.relevantPeriod), MedicationTreatment.authorDatetime) during day of Global."NormalizeInterval" ( MAT.relevantDatetime, MAT.relevantPeriod )       and Coalesce(start of Global."NormalizeInterval"(MedicationTreatment.relevantDatetime, MedicationTreatment.relevantPeriod), MedicationTreatment.authorDatetime) during day of "Measurement Period"
    • CMS0506v8
    • CMS0506v7
    • CMS0506v6
    • Due to error logic, we have accounts incorrectly flagged as Numerator.

      2025 measure logic is counting MAT as mandatory requirement with treatment for OUD. (first Screenshot) As per specification, MAT intervention is mentioned as 'OR' for patients receiving medication for OUD. (second Screenshot). Please clarify and help us to understand it?  

        1. image-2025-12-09-09-39-06-059.png
          image-2025-12-09-09-39-06-059.png
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        2. image-2025-12-09-09-40-17-320.png
          image-2025-12-09-09-40-17-320.png
          288 kB

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Mudrabahen Patel
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              Created:
              Updated:
              Resolved:
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