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    UDS Reporting

    2026 UDS Proposed Changes: What FQHCs Should Prepare for Now

    How to track proposed UDS changes without rebuilding workflows around guidance that is not final.

    By Jessica R. Smith, BSN · Updated · 6 min read

    Prepare for change without chasing drafts

    Proposed changes are worth monitoring and rarely worth rebuilding around before they are final. The stable preparation is making your current measure logic documented and easy to change.

    What is safe to do today

    • Document how each measure is currently built in your EHR, including who owns it
    • Keep historical measure results so a specification change can be interpreted, not just absorbed
    • Assign one person to monitor official HRSA notices

    See measure tracking

    Retained history makes a specification change interpretable instead of disruptive.

    See measure tracking

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