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Measure Implementation

Pre-Rulemaking Measure Applications Partnership (MAP)

As part of the pre-rulemaking process, the CMS consensus-based entity (CBE) convenes multi-stakeholder groups to provide consensus-based input for the annual Measures Under Consideration (MUC) List.

The MAP is a multi-stakeholder partnership that provides recommendations to the U.S. Department of Health and Human Services (HHS) on the selection of quality and efficiency measures for CMS programs. First launched in the spring of 2011, the MAP’s overall goal is to maintain transparency and encourage public engagement throughout this process. All MAP meetings are open to the public and the CMS CBE posts meeting summaries  to the their website.

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MAP funnel

Providing Input on the MUC List

  • After receiving the annual MUC List, the MAP workgroups and Coordinating Committee convene to fulfill their statutory requirement of providing input to HHS on measures on the MUC List for use in Medicare programs. 
  • The workgroups evaluate the candidate measures using the Measure Selection Criteria developed by the MAP. The MAP reaches one of several conclusions for each candidate measure: support, do not support, conditionally support, or refine and resubmit. 
  • The MAP provides program-specific recommendations to HHS no later than February 1.
  • HHS takes the MAP’s analysis and advice into account, but HHS alone makes the final decision about measure selection and implementation in public programs. If HHS decides to take a candidate measure that MAP did not support, and propose it through the Federal rulemaking process, CMS will provide a rationale for that decision.
Last Updated: Nov 2022