Eligible Measures Applicability (EMA) best practices and selection in MIPSpro

The Eligible Measures Applicability (EMA) process allows MIPS-eligible clinicians to report fewer than 6 quality measures or skip reporting an outcome or high-priority measure. If clinicians pass EMA, CMS will reweight their Quality performance category denominator.

CMS also offers specialty measure sets of fewer than 6 measures. These follow the same reweighting principles as EMA. 

EMA clusters typically become available in MIPSpro during the fourth quarter (October-December) of the performance year. Healthmonix recommends clinicians use the EMA process only as a last resort. 

Quick facts

  • The EMA process only applies to clinicians, groups, virtual groups, or APM Entities reporting traditional MIPS via Medicare Part B claims measures and MIPS Clinical Quality Measures (CQMs).
  • You can't use the EMA process if you submit Qualified Clinical Data Registry (QCDR) measures or electronic Clinical Quality Measures (eCQMs). 
  • If you report fewer than 6 measures or 6 measures without an outcome or high-priority measure, CMS applies a denominator reduction process. That process determines whether you reported all measures related to a clinical topic contained within a specialty set.
  • If CMS determines you could have reported more measures, you’ll receive 0 points for each required measure you didn't submit.

Best practices

  • Clinicians and groups should only submit measures within an EMA cluster. 
    • If you have 0 eligible instances for measures in an EMA cluster, submit the measures with 0 instances.
    • If you have eligible measures in more than 1 EMA cluster, contact CMS for specific guidance.
  • Contact the QPP Help Desk at QPP@cms.hhs.gov for additional information on the EMA process.

Select the EMA option in MIPSpro

1. From your dashboard, click Begin or Continue in the Quality row. 

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2. Click My Measures

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3. Click Select Measures.

4. Select Waive the "Selection Requirements" to report EMA. 

 

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5. Click Complete EMA Cluster(s).

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6. If 1 of your selected measures is part of an EMA cluster, EMA cluster information will display. Click the acknowledgment box.

7. Click Save and Close

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This article was updated Dec. 5, 2024.

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