Technical Resources

Technical Resource Manuals

The Medicaid and CHIP Quality Rating System Technical Resource Manual (TRM) is updated annually for each measurement year (MY). The TRM presents the set of MAC QRS mandatory measures, describes updates to the measurement set, and provides guidance on stratifying mandatory measures and calculating mandatory measures with multiple rates. 

Measurement Year 2026

• MY 2026 Initial Technical Resource Manual

Measurement Year 2027

• MY 2027 Mandatory Measure Set Update

Additional Technical Resources

• Measure Assignment Technical Assistance Resource