diff --git a/src/api/TerminologyServiceApi.test.ts b/src/api/TerminologyServiceApi.test.ts
index d3bb5576..62a92ec1 100644
--- a/src/api/TerminologyServiceApi.test.ts
+++ b/src/api/TerminologyServiceApi.test.ts
@@ -84,7 +84,7 @@ describe("TerminologyServiceApi Tests", () => {
       });
   });
 
-  it("Should call Terminology Service URL to fetch value set expansions when manifest Expansion feature flag is true", () => {
+  it("Should call Terminology Service URL to fetch value set expansions when manifest Expansion feature flag is true and activeOnly is set to 'true' when manifestExpansion is truthy (expansion type is Manifest)", () => {
     axios.put = jest
       .fn()
       .mockResolvedValue({ data: cqm_measure_basic_valueset });
@@ -101,6 +101,32 @@ describe("TerminologyServiceApi Tests", () => {
           fullUrl: "https://cts.nlm.nih.gov/fhir/Library/mu2-update-2015-05-01",
           id: "mu2-update-2015-05-01",
         },
+        activeOnly: "true",
+        profile: "",
+        valueSetParams: [
+          { oid: "2.16.840.1.113883.3.666.5.307" },
+          { oid: "2.16.840.1.113883.3.464.1003.103.12.1001" },
+        ],
+      },
+      { headers: { Authorization: "Bearer undefined" }, signal: true }
+    );
+  });
+
+  it("Should call Terminology Service URL to fetch value set expansions when manifest Expansion feature flag is true and activeOnly is set to 'false' when manifestExpansion is falsy (expansion type is Latest)", () => {
+    axios.put = jest
+      .fn()
+      .mockResolvedValue({ data: cqm_measure_basic_valueset });
+    const result = terminologyService.getQdmValueSetsExpansion(
+      cqm_measure_basic,
+      null,
+      true
+    );
+    expect(axios.put).toBeCalledWith(
+      "test.url/terminology/value-sets/expansion/qdm",
+      {
+        includeDraft: "yes",
+        manifestExpansion: null,
+        activeOnly: "false",
         profile: "",
         valueSetParams: [
           { oid: "2.16.840.1.113883.3.666.5.307" },
@@ -128,6 +154,7 @@ describe("TerminologyServiceApi Tests", () => {
                 "https://cts.nlm.nih.gov/fhir/Library/mu2-update-2015-05-01",
               id: "mu2-update-2015-05-01",
             },
+            activeOnly: "true",
             profile: "",
             valueSetParams: [
               { oid: "2.16.840.1.113883.3.666.5.307" },
diff --git a/src/api/useTerminologyServiceApi.ts b/src/api/useTerminologyServiceApi.ts
index f4062322..54aac605 100644
--- a/src/api/useTerminologyServiceApi.ts
+++ b/src/api/useTerminologyServiceApi.ts
@@ -17,6 +17,7 @@ type ValueSetSearchParams = {
 type ValueSetsSearchCriteria = {
   profile: string;
   includeDraft: "yes" | "no";
+  activeOnly: string;
   manifestExpansion: ManifestExpansion;
   valueSetParams: ValueSetSearchParams[];
 };
@@ -78,6 +79,7 @@ export class TerminologyServiceApi {
     }
     const searchCriteria: ValueSetsSearchCriteria = {
       includeDraft: "yes", // always yes for now
+      activeOnly: manifestExpansion ? "true" : "false",
       profile: "",
       manifestExpansion: manifestExpansion,
       valueSetParams: this.getValueSetsOIDsFromCqmMeasure(