Updates to Established TEPs

Click the plus sign (+) for each established technical expert panel (TEP) to view updates, such as membership lists, meeting agendas, and summary reports.

2026 Nomination Period

Development of Medicaid Total Cost of Care Measure

Project Title: Development of Medicaid Total Cost of Care Measure

Dates:

  • The Call for Technical Expert Panel (TEP) nomination period closed on February 24, 2026.
  • The TEP met on May 21, 2026.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted Yale New Haven Health Services Corporation – Center for Outcomes Research and Evaluation (CORE) to develop a Medicaid total cost of care (TCOC) measure for use initially in the CMS Innovation Center’s Innovation in Behavioral Health (IBH) Model. The contract name is Quality Measure Development and Analytic Support. The contract number is HHSM-75FCMC18D0042, Task Order HHSM-75FCMC24F0230. As part of its measure development process, CORE convenes groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance. 

Documents:

You may access the TEP Summary Report and the TEP Membership List by clicking the title of each document:

Dialysis Facility Quality of Patient Care Star Rating

Project Title: Dialysis Facility Quality of Patient Care Star Rating

Dates:

  • The Technical Expert Panel (TEP) nomination period closed on Friday, January 23, 2026.
  • The TEP met on Thursday, April 9, 2026.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted with The University of Michigan Kidney Epidemiology and Cost Center (UM-KECC) to act as the quality measure developer and technical content support contractor for Dialysis Facility Care Compare (DFCC) on Medicare.gov. The contract name is Kidney Disease Quality Measure Development, Maintenance, and Support. The contract number is 75FCMC18D0041 and the task order number is 75FCMC23F0001. As the organizer of this TEP, UM-KECC convenes groups of consumers and providers who contribute direction and thoughtful input on their work and analysis.  The TEP will review and provide input on options and considerations for updating and public reporting of the Star Rating, including evaluating candidate quality measures for possible addition or removal to the Star Rating based on clinical/public health importance.

Documents:

You may access the TEP Summary Report and the TEP Membership List by clicking the title of each document:

Development and Evaluation of Exchange Health Plan Quality Initiatives (QRS/QIS)

Project Title: Development and Evaluation of Exchange Health Plan Quality Initiatives (QRS/QIS)

Dates: 

  • The Call for Technical Expert Panel (TEP) nomination period closed on February 23, 2026.
  • The TEP met on May 19, 2026.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted Booz Allen Hamilton (Booz Allen) to implement the Development and Evaluation of Exchange Health Plan Quality Initiatives (QRS/QIS) in fulfillment of the statutory and regulatory requirements of 1311(c)(3) of the Patient Protection and Affordable Care Act (PPACA). The contract name is Development and Exchange of Health Plan Quality Initiatives (QRS/QIS). The contract number is 75FCMC18D0019. As the organizer of this TEP, Booz Allen convenes groups of stakeholders and experts who contribute direction and thoughtful input on their work and analysis. The QRS/QIS TEP will advise on the continued implementation of the QRS and QIS by providing input on topics such as public engagement efforts, guidance materials, data analysis and methodology, and measure set refinements.

Documents:

You may access the TEP Summary Report, TEP Membership List, and TEP Charter by clicking the title of each document:

Outpatient Excess Days in Acute Care (EDAC) Measure

Project Title: Outpatient Excess Days in Acute Care (EDAC) Measure

Dates:

  • The Call for Technical Expert Panel (TEP) nomination period closed on February 27, 2026.
  • The TEP met on March 23, 2026.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted with Acumen, LLC, its non-profit partner firm The SPHERE Institute, and subcontractors (hereafter jointly referred to as “Acumen”) to develop outcome/efficiency measures. The contract name is Development, Reevaluation, and Implementation of Outpatient Outcome/Efficiency Measures. The contract number is 75FCMC18D0015, Task Order (TO) No. 75FCMC24F0146. 
This TEP contributed direction and thoughtful input to develop a new measure using administrative claims data to assess the Excess Days spent in Acute Care (EDAC) following an outpatient procedure or surgery for use in the Hospital Outpatient Quality Reporting (Hospital OQR) and Ambulatory Surgical Center Quality Reporting (ASCQR) programs.

Documents:

You may access the TEP Summary Report and the TEP Membership List by clicking the title of each document:

2025 Nomination Period

Home and Community-Based Services (HCBS) Measures Maintenance and Development

Project Title: Home and Community-Based Services (HCBS) Measures Maintenance and Development

Dates:

  • The Call for Technical Expert Panel (TEP) nomination period closed on February 14, 2025.
  • The TEP met on May 27, 2025, May 28, 2025, and August 18, 2025.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted with Mathematica and Human Services Research Institute (HSRI) to develop 1) new measures for children, youth, and young adults who use home and community-based services (HCBS) and 2) maintain existing CMS HCBS and long-term services and supports (LTSS) measures. The contract name is Long-term Services and Supports (LTSS) Analyses, Public Reporting, and Measures Maintenance and Development. The contract number is 75FCMC19D0091 and the task order number is 75FMC24F0194. As part of its measure development process, Mathematica convenes groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance.

Documents:

You may access the TEP Summary Report and the TEP Membership List by clicking the title of each document:

Behavioral Health Measures Development & Inpatient and Outpatient Measures Maintenance

Project Title: Behavioral Health Measures Development & Inpatient and Outpatient Measures Maintenance

Dates:

  • The Call for Technical Expert Panel (TEP) nomination period closed on January 15, 2025.
  • The TEP met on December 10, 2025.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted with Mathematica to develop measures for select quality reporting and payment programs. The contract name is Behavioral Health Measures Development and Inpatient and Outpatient Measure Maintenance (BHIOMM). The contract number is 75FCMC18D0032 and the task order number is 75FCMC24F0136. 

As the organizer of this TEP, Mathematica convenes groups of stakeholders and experts who contribute direction and thoughtful input on Mathematica’s work and analysis. TEP meetings are conducted virtually and focus on soliciting review, prioritization, and feedback on new measure concepts, draft measure specifications and results from alpha and beta testing and public comment. 

Documents:

You may access the TEP Summary Report and the TEP Membership List by clicking the title of each document:

Breast Cancer Screening Recall Rates (OP-39) Re-specification

Project Title: Breast Cancer Screening Recall Rates (OP-39) Re-specification

Dates:

  • The Call for Technical Expert Panel (TEP) nomination period closed on June 17, 2025.
  • The TEP met on July 10, 2025.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted with Acumen, LLC, its non-profit partner firm The SPHERE Institute, and subcontractors (hereafter jointly referred to as “Acumen”) to develop outcome/efficiency measures. The contract name is Development, Reevaluation, and Implementation of Outpatient Outcome/Efficiency Measures. The contract number is 75FCMC18D0015, Task Order (TO) No. 75FCMC24F0146. As part of its measure development and re-specification process, Acumen convenes groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance.

Acumen convened this TEP to re-specify the Breast Cancer Screening Recall Rates measure (OP-39) that is currently in use in the Hospital Outpatient Quality Reporting (Hospital OQR) program. This measure was submitted for Consensus-Based Entity (CBE) endorsement during the Fall 2023 cycle but did not receive endorsement. The purpose of this TEP is to re-specify the OP-39 measure in order to address the limitations and weaknesses discussed during the endorsement cycle.

Documents:

You may access the TEP Summary Report and the TEP Membership List by clicking the title of each document:

2024 Nomination Period

Electronic Clinical Quality Measure (eCQM) Development and Maintenance for Eligible Clinicians (EC) 

Project Title: Electronic Clinical Quality Measure (eCQM) Development and Maintenance for Eligible Clinicians (EC)

Dates:

  • The Call for Technical Expert Panel (TEP) nomination period closed on 10/29/2024. For the 2025-2026 TEP, 17 standing TEP members continued participation, and AIR recruited one new TEP member through direct outreach for a total of 18 TEP members.
  • The TEP met on April 7, 2025, June 23, 2025, December 5, 2025, and May 14, 2026.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted the American Institutes for Research (AIR) and its partners to develop, electronically specify, and maintain eCQMs for eligible clinicians for potential consideration and use in CMS quality programs. The contract name is Electronic Clinical Quality Measure (eCQM) Development and Maintenance for Eligible Clinicians (EC). The contract number is 75FCMC18D0027. As the organizer of this TEP, AIR convenes groups of stakeholders and experts who contribute direction and thoughtful input on their work and analysis. The TEP is a collaborative advisory body of approximately 18 individuals who represent a broad range of technical experts and stakeholders including but not limited to, patients, caregivers, patient advocates, clinicians, electronic health record vendor representatives, quality improvement experts, and health system representatives. The objective of the TEP is to provide input on the prioritization and development of eCQMs that support CMS’s quality program goals throughout the development lifecycle.

Documents:

You may access the TEP Summary Report and the TEP Membership List by clicking the title of each document:

Birthing-Friendly Hospital Designation

Project Title: Birthing-Friendly Hospital Designation

Dates:

  • The Call for Technical Expert Panel (TEP) nomination period closed on July 12, 2024.
  • The TEP met on October 10, 2024, August 18, 2025, and December 9, 2025.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with Yale New Haven Health Services Corporation – Center for Outcomes Research and Evaluation (CORE) to support the development of an expanded Birthing­Friendly Hospital Designation. The CORE contract name is the Centers for Medicare & Medicaid Services: Measure & Instrument Development and Support (MIDS): Development, Reevaluation, and Implementation of Outcome/Efficiency Measures for Hospitals and Eligible Clinicians, Option Period 2: the Contract Number is HHSM-75FCMC18D0042, Task Order HHSM-75FCMC24F0042. As part of its measure development process, CORE convenes groups of stakeholders who contribute direction and thoughtful input to the measure developer during measure development and maintenance. The purpose of this technical expert panel (TEP) is to advise on conceptual, technical, and implementation considerations for a scoring approach and approach for awarding an expanded Designation.

Documents:

You may access the TEP Summary Report and the TEP Membership List by clicking the title of each document:

Clinician Cost Measures Development Project

Project Title: Clinician Cost Measures Development Project

Dates:

The Physician Cost Measures and Patient Relationship Codes (PCMP) Technical Expert Panel (TEP) met on December 18, 2024 and August 12, 2025.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with Acumen, LLC (referred to as “Acumen”) to develop, maintain, and re-evaluate cost measures for use in the MIPS cost performance category through the Physician Cost Measures and Patient Relationship Codes (PCMP) contract (75FCMC18D0015/Task Order 75FCMC24F0142) to meet the requirements of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Acumen also maintains the Medicare Spending Per Beneficiary (MSPB) Hospital measure used in the Hospital Value-Based Purchasing (VBP) program. The PCMP project continues previous contracts, MACRA Episode Groups and Cost Measures (2016 to 2019, contract number HHSM-500-2013-13002I, Task Order HHSM-500-T0002) and Physician Cost Measures and Patient Relationship Codes (2019 to 2024, contract number 75FCMC18D0015, Task Order 75FCMC19F0004). As part of its measure development process, Acumen convenes groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance.

Documents:

You may access the TEP Summary Reports and the TEP Composition List by clicking the title of each document:

Patient Safety Measure Development and Maintenance – Patient Safety Indicator (PSI)

Project Title: Patient Safety Measure Development and Maintenance – Patient Safety Indicator (PSI)

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted Mathematica to maintain two claims-based measures (Patient Safety Indicator [PSI] 90 composite and 30-Day Risk Standardized Death Rate among Surgical Inpatients with Complications [Failure-to-Rescue]). The contract name is Measure & Instrument Development and Support (MIDS): Patient Safety Measure Development and Maintenance. The contract number is 75FCMC18D0032, Task Order number is 75FCMC24F0023. As the organizer of this TEP, Mathematica convenes groups of stakeholders and experts who contribute direction and thoughtful input on their work and analysis. The purpose of this TEP is to convene a group of diverse perspectives and expertise to advise on conceptual, technical, and implementation considerations of the claims-based measures specified above.

Perspectives/Expertise:

We sought individuals with differing perspectives and areas of expertise, such as

  • Clinical experts with expertise in hospital settings, including medical doctors, nurses, and any other staff with expertise in patient safety clinical topics,
  • Subject matter experts in performance measurement;
  • Subject matter experts in coding and informatics;
  • Subject matter experts in electronic health records (EHR); and
  • Consumer/patient/family (caregivers).  

TEP Expected Time Commitment:

The number of meetings will vary each year throughout the contract period.  

Documents:

You may access the TEP Membership List by clicking the title of the document:

2023 Nomination Period

Advance Care Planning Measure

Project Title: Advance Care Planning Measure

Dates: The Technical Expert Panel (TEP) met on June 30th, 2025.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted with Yale New Haven Health Services Corporation - Center for Outcomes Research and Evaluation (CORE) to develop an Advance Care Planning measure. The contract name is Measure & Instrument Development and Support (MIDS): Development, Reevaluation, and Implementation of Outcome/Efficiency Measures for Hospital and Eligible Clinicians, Option Period 1. As part of its measure development process, CORE convenes groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance. The purpose of this TEP is to assemble a group with diverse perspectives and expertise to advise on conceptual, technical, and implementation considerations of this measure.

Documents:

You may access the TEP Summary Report and the TEP Membership List by clicking the title of each document:

2022 Nomination Period

Development of an Enrollee Satisfaction Survey System for Use in the Exchange

Project Title: Development of an Enrollee Satisfaction Survey System for Use in the Exchange

Dates:

  • The Call for Technical Expert Panel (TEP) nomination period closed on September 2, 2022.
  • The TEP met on October 27, 2022, March 2, 2023, October 30, 2023, March 1, 2024, November 4, 2024, February 28, 2025, November 3, 2025, and March 2, 2026.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted with the American Institutes for Research (AIR) to develop an Enrollee Satisfaction Survey System for use in the Exchange. The contract name is Development of an Enrollee Satisfaction Survey System for use in the Exchange. The contract number is 75FCMC18D0027. As part of its measure development process, AIR convenes groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance.

Documents:

You may access the TEP Summary Reports and TEP Membership List by clicking the title of each document:

2019 Nomination Period

Patient Safety Measure Development and Maintenance – Hospital Harm 

Project Title: Patient Safety Measure Development and Maintenance – Hospital Harm

Dates:

  • The TEP convened on the following dates: June 5, 2024; July 30, 2024; December 4, 2024; and October 6, 2025.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted with Mathematic to develop and maintain hospital harm electronic clinical quality measures (eCQMs). The contract name is Measure & Instrument Development and Support (MIDS): Patient Safety Measure Development and Maintenance. The contract number is 75FCMC18D0032, Task Order number is 75FCMC24F0023. As part of its measure development process, Mathematica convenes groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance. 

Documents:

You may access the TEP Summary Report and the TEP Membership List by clicking the title of each document:

CMS Quality Measure Development Plan (MDP) TEPs

Technical Expert Panels (TEPs), made up of a diverse group of stakeholders including clinicians, measure development experts, and patient/caregiver representatives, are a crucial part of the CMS Measure Development Plan (MDP). Their primary role is to provide technical input on the development, selection, and maintenance of quality measures to ensure that they are clinically relevant, reliable, and valid.

View MDP TEP Summary Reports

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