With little fanfare, CMS has begun the process to remove the measure, Frequency of Pain Interfering with Patients Activities or Movement (“Pain”) from the Home Health Quality Reporting Program (HH QRP). We were made aware of CMS’s concerns in their 2018 roadmap outlining efforts to address the national opioid crises. In the 2020 Final Rule, CMS noted: “We are removing pain-associated quality measures from our quality programs in an effort to mitigate any potential unintended, over-prescription of opioid medications inadvertently driven by these measures”.