Thank you for your question regarding CMS155v14 (2026 Performance Period). The intent of this measure is to look for encounters performed by primary care providers (PCPs) or obstetrician/gynecologists (OB/GYNs) in the Initial Population. However, the denominator encounter logic/codes are not provider specific at this time. As specified in the measure logic, visits that would qualify for the Initial Population are those encoded with any codes listed in the value sets from the "Qualifying Encounters" definition. As of now, providers can decide which measures they want to report and need to apply the necessary restrictions at the individual provider level. For questions regarding specialty group reporting requirements, please submit questions to the QPP helpdesk.

 have a question about CMS 155 Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents measure Original Concern: The measure specifies patients aged 3-17 who had an outpatient visit with a primary care physician or obstetrician-gynecologist. However, we are seeing patients included who have only visited ENT or orthopedic providers and have not seen any primary care provider. When we asked our EHR vendor about this, they explained that the specifications, as written, pull in any patient with a qualifying visit and do not exclude those who only saw specialists such as orthopedics or ENT. Request for