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Mid-Week MACRA Minute – Quality Measure 226: Preventive Care and Screening: Tobacco Use

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Quality Measure 226 – Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

CMS made some changes to Quality Measure 226 and we have highlighted those changes below.

Description: Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received cessation counseling intervention if identified as a tobacco user


  • Denominator: Patients aged = 18 years AND at least two patient encounters during the performance period
  • Numerator: Patients screened for tobacco use and identified as a current tobacco non-user OR if identified as a tobacco user, they received tobacco cessation intervention (counseling, pharmacotherapy, or both)


For more details regarding Quality Measure criteria visit the Resource Library on the QPP website at or visit the MediSYS website at

Question? The Quality Payment Program Service Center can be reached at 1-866-288-8292 (TTY 1-877-715- 6222), Monday through Friday, 8:00 AM-8:00 PM Eastern Time or via email at [email protected].

Contact us to find out more about MediSYS at [email protected] or 205-631-5969.