Forms


The Exception Request process provides survey vendors with more flexibility to meet individual organizations’ need for certain variations from protocols, while still maintaining the integrity of the data for standardized data reporting. Survey vendors must request an exception from CMS prior to pursuing any variations from protocols.

[View Exception Request Form]

On occasion, a survey vendor may identify discrepancies from CAHPS Hospice Survey protocols that require corrections to procedures and/or electronic processing to realign the activity to comply with CAHPS Hospice Survey protocols. Survey vendors are required to notify CMS of these discrepancies immediately upon discovery.

[View Discrepancy Report Form]

All hospices and approved survey vendors must have user account information and be granted access to the CAHPS Hospice Survey Data Warehouse.

[View Data Warehouse Access Form]

Survey Vendor Participation Form

The CAHPS Hospice Survey Participation Form for Survey Vendors is available beginning May 11, 2022 through 5:00 PM Eastern Time on June 1, 2022.

Survey vendors requesting consideration to administer the CAHPS Hospice Survey must meet ALL of the Survey Vendor Minimum Business Requirements at the time the CAHPS Hospice Survey Participation Form for Survey Vendors is submitted to the CAHPS Hospice Survey Project Team. 

[View the Survey Vendor Participation Form]

[View the Minimum Business Requirements]

Training Registration Form

The Centers for Medicare & Medicaid Services (CMS) offers CAHPS Hospice Survey Training in the Fall of each year. The training sessions are intended for hospices, survey vendors that participate in the CAHPS Hospice Survey, as well as other interested individuals and organizations. 

The Training Registration Form will be available toward the end of Summer 2022.

Survey vendors must format their data submissions to the CAHPS Hospice Survey Data Warehouse following the CAHPS Hospice Survey XML File Specifications.

[View File Specifications]