CMS Star Ratings Calendar

Remove Care for Older Adults - Pain Assessment, per NCQA's measure retirement

Reward Factor continues without any gap in implementation. EHO4all not implemented.

Remove the standalone Medication Reconciliation Post-Discharge (Part C) measure

Modify the Improvement Measure hold harmless policy to apply only to 5-star plans

COL: Age range expanded to include ages 45-49

COA Functional Status Assessment added: 1x weight

Part D Concurrent Use of Opioids and Benzodiazepines (COB) added: 1x weight

Polypharmacy: Use of Anticholinergic Medications in Older Adults (Poly-ACH) added: 1x weight

SPC: Add Statin intolerance exclusion

HOS measures: Improving or Maintaining Physical Health and Improving of Maintaining Mental Health increase weight to 3x

MTM Program Completion Rate for CMR moved to display page for MY 25/MY 26.  Will return to Star Ratings as new measure in MY 27.

Remove hybrid reporting from CDC-Eye Exam (to mirror NCQA)

Non-risk-adjusted Medication Adherence measures retired.  Risk-adjusted Medication Adherence measures added: 1x weight

Remove guardrails for non-CAHPS measures

Medication Adherence measures to remove the adjustment for IP or SNF stays to align with PQA specifications

Retire Call Center — Foreign Language Interpreter and TTY Availability (Part C and D)

Retire Statin Therapy for Patients with Cardiovascular Disease .  A replacement measure with substantive changes would first be on the display page for two years.

Adding Initial Opioid Prescribing for Long Duration (IOP-LD) to the part D measures

Add Initiation and Engagement of Substance Use Disorder Treatment (IET) as an average of Initiation and Engagement rates

Risk-adjusted Med Adherence measures increase to 3x weight

BCS: Expand age range to include women ages 40–49, for an updated age range of 40–74

Add Depression Screening and Follow-up measure

Retire Complaints about the
Health Plan, Complaints about the Drug Plan

Retire MPF Price Accuracy

Retire Customer Service measure

Retire Plan Makes Timely Decisions about Appeals (Part C)

Retire Reviewing Appeals Decisions (Part C) 

Retire Diabetes Care - Eye Exam

Retire Members Choosing to Leave the Plan Part C and Part D

Retire SNP Care Management (Part C)

Retire Rating of Health Care Quality

Retire MTM Program Completion Rate for Comprehensive Medication Review (CMR) (Part D) and/or SNP Care Management (Part C).  No date specified.

Retire SNP-specific measures: Care for Older Adults – Medication Review and Care for Older Adults – Functional Status Assessment.  No date specified.