OQR Program Rule History

Federal Register Reference

The final rule is published annually in the Federal Register to describe changes to the program that determines the payment rates for Medicare services paid under the Outpatient Prospective Payment System. Hospitals should review the final rule to be aware of changes that affect the way data are reported for each calendar year.

Calendar Year Federal Register Reference Page Number* Program-Related Codifications
2025 Volume 89

94367
(Cross-Program Measures for OQR, REH & ASC)

94404
(OQR Program)

  • Replace Immediate Measure Removal Policy with Immediate Measure Suspension Policy: Updated (page 94404)
  • EHR technology certified to all eCQMs: New (page 94420)
  • Certified technology updated consistent with ONC's health IT certification criteria: New (page 94420)
  • eCQM electronic measure specifications: New (page 94420)
2024 Volume 88 81961
  • Replace "QualityNet" with "CMS Designated Information System" or "CMS Website" (pages 81961, 82001, 82002, 82010)
2023 Volume 87 72096 None
2022 Volume 86 63822 None
2021 Volume 85 86179
  • Statutory authority for the Hospital OQR Program: New (pages 86179 – 86180)
  • Public reporting for hospitals sharing the same CCN: Updated (pages 86181 – 86182)
  • Replace the term “security administrator” with the term “security official”: Updated (page 86182)
  • Deadlines falling on a Saturday, Sunday, legal holidays: Updated (page 86183)
  • Review and corrections policy: Updated and expanded (pages 86184)
  • Validation Educational Review Process: New (pages 86184 – 86185)
2020 Volume 84 61410

None

2019 Volume 83 59080
  • Measure Retention and Removal: New (pages 59082 –59085)
  • Procedural/ Participation Requirements: Updated (pages 59103 – 59104)
2018 Volume 82 52564
  • General Submission Requirements: Updated (pages 59439)
  • Validation Requirements: Updated (pages 59441 –59442)
  • Extraordinary Circumstances Extension Requirements: Updated (pages 59443 – 59444)
2017 Volume 81 79753
  • Reconsideration Requirements: Updated (page 79795)
  • Extraordinary Circumstances Extension Requirements: Updated (page 79795)
2016 Volume 80 70502
  • Procedural/ Participation Requirements: Updated (page 70519)
  • Validation Requirements: Updated (page 70524)
  • Extraordinary Circumstances Extension Requirements: Minor update (page 70524)
  • Reconsideration Requirements: Updated (page 70524)
2015 Volume 79 66940
  • Procedural/ Participation Requirements: Minor Update (page 66962)
  • Validation requirements: Updated (pages 66964 – 66966)
  • Extraordinary Circumstances Extension Requirements: Updated (page 66966)
2014 Volume 78 75090
  • Procedural/ Participation Requirements (page 75109)
  • General Submission Requirements (pages 75110 – 75111)
  • Validation Requirements (pages 75117 – 75118)
  • Reconsideration Requirements (pages 75118 – 75119)
  • Extraordinary Circumstances Extension Requirements (page 75119)
2013 Volume 77 68467

None

2012 Volume 76 74451

None

2011 Volume 75 72064

None

2010 Volume 74 60629

None

2009 Volume 73 68758

None

2008 Volume 72 66860

None

* This page number denotes the Federal Register page on which the Hospital OQR program requirements begin.