Thank you for your inquiry regarding CMS122v14 (2026 Performance Period). As specified in the guidance section of the header, "If the glycemic status assessment (HbA1c or GMI) is in the medical record, the test can be used to determine numerator compliance." This measure requires documentation of an HbA1c or GMI lab test, identified by the "HbA1c Laboratory Test" (2.16.840.1.113883.3.464.1003.198.12.1013) value set or the "Glucose Management Indicator" LOINC code (97506-0), along with the test result and date. A patient reported test may be counted toward HbA1c or GMI testing as long as the results are sent to a laboratory or the provider’s office for analysis. Documentation of the criteria noted above must be recorded in the structured fields of the EHR for measure evaluation. If you have questions about reading the measure specification or understanding data requirements, you may refer to the "Guide for Reading eCQMs" for additional guidance. If you have questions regarding implementing the measure, you may refer to the "Implementation Checklist for eCQM Annual Update" for additional guidance. These resources can be found in the eCQI Resource Center: https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=ecqm-resources&global_measure_group=eCQMs . For inquiries about CMS quality program reporting requirements or other quality measure collection types (e.g., MIPS CQM), please contact the QPP Helpdesk at QPP@cms.hhs.gov .