For the calendar year 2023 reporting period, eligible hospitals and Critical Access Hospitals (CAHs) were required to use 2015 Edition Cures Update certified electronic health record technology (CEHRT) to meet the Medicare Promoting Interoperability Program requirements. CAHs may apply for a Hardship Exception if complying with this requirement results in significant hardship. CAHs may submit their application electronically or contact the Center for Clinical Standards and Quality Service Center (CCSQ) Service Center at (866) 288-8912 to complete a verbal application.