CAHPS® Hospice Survey

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Quick Links: UPDATED: CAHPS Hospice Survey Mail and Telephone Materials Posted  | URGENT: CY 2018 Participation Exemption for Size Form Submission Deadline Approaching CAHPS Hospice Survey Public Report Preview Period Begins December 10, 2018CAHPS Hospice Survey Results Available on Hospice Compare | UPDATED: CAHPS Hospice Survey Response Rate | UPDATED: Case-Mix Adjustment Methods for CAHPS Hospice Survey Measures Document Posted | UPDATED: CAHPS Hospice Survey State Scores Posted | UPDATED: CAHPS Hospice Survey National Percentiles PostedExtraordinary Circumstances Extension / Exception (ECE) due to Hurricane MichaelApplicability of Quality Reporting Requirements for Hospices Affected by Hurricane Florence | CAHPS Hospice Survey Quality Assurance Guidelines V5.0 is Now Available | Fiscal Year 2019 Hospice Final Rule Released Step-by-Step Guide for Calculating CAHPS Hospice Survey Top-, Middle-, and Bottom-Box Scores Document Posted    

UPDATED: CAHPS Hospice Survey Mail and Telephone Materials Posted (12/17/2018)

The CAHPS Hospice Survey mail and telephone materials from the Quality Assurance Guidelines V 5.0 (QAG V5.0) in all approved translations have been posted. To view or download the revised CAHPS Hospice Survey materials, please click on the left hand Survey Instruments navigation button.

Survey vendors must utilize the revised CAHPS Hospice Survey materials beginning with January 2019 decedents (caregivers surveyed beginning April 1, 2019).

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URGENT: CY 2018 Participation Exemption for Size Form Submission Deadline Approaching (12/17/2018) 

The Participation Exemption for Size Form for the calendar year (CY) 2018 CAHPS Hospice Survey data collection and reporting requirements is available to complete and submit on the CAHPS Hospice Survey Web site (www.hospicecahpssurvey.org). Hospices that served fewer than 50 survey-eligible decedents/caregivers in CY 2017 (January 1, 2017 through December 31, 2017 [or from assignment of CCN]) can apply for an exemption from participation in the CAHPS Hospice Survey for CY 2018. 

To view or complete the 2018 Participation Exemption for Size Form, please click on the left hand Participation Exemption for Size navigation button. The Participation Exemption for Size Form will be available to complete and submit online until December 31, 2018. 

Please note, exemptions on the basis of size are active for one year only. If a hospice continues to meet the eligibility requirements for this exemption in subsequent years, the organization will need to again request the exemption. 

If a hospice has questions regarding the Participation Exemption for Size process or how to complete the Participation Exemption for Size Form, please contact the CAHPS Hospice Survey Project Team: hospicecahpssurvey@HCQIS.org or 1-844-472-4621. 

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CAHPS Hospice Survey Public Reporting Provider Preview Period Begins December 10, 2018 (12/11/2018)

CAHPS Hospice Survey Public Report Provider Preview Reports for the reporting period of second quarter of 2016 through the first quarter of 2018 (4/1/2016 – 3/31/2018) are now available. Hospice Provider Preview Reports can be accessed via the Certification and Survey Provider Enhanced Reports (CASPER) application. The reports have been updated to include Top-, Middle-, and Bottom- box scores. Hospice providers have the opportunity to review their quality measure results during the 30-day preview period via their Hospice Provider Preview Report. The Preview Reports will be available from December 10, 2018 through January 9, 2019. The data that appear in the Preview Reports will be publicly reported on Hospice Compare in February 2019.

More details about Hospice Quality Public Reporting are available at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/Hospice-Quality-Public-Reporting.html.

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CAHPS Hospice Survey Results Available on Hospice Compare (12/4/2018)

The November 2018 quarterly Hospice Compare refresh of quality data is now available. The current reporting period covers hospice care experiences from the first quarter of 2016 through the fourth quarter of 2017 (1/1/2016 through 12/31/2017). Downloadable data sets are available at https://data.medicare.gov/data/hospice-compare.

More details about Hospice Quality Public Reporting are available at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/Hospice-Quality-Public-Reporting.html.

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UPDATED: CAHPS Hospice Survey Response Rate (11/30/2018)

The CAHPS Hospice Survey response rate for the upcoming public reporting period (second quarter of 2016 through the first quarter of 2018) is available here.

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UPDATED: Case-Mix Adjustment Methods for CAHPS Hospice Survey Measures Document Posted (11/30/2018)

Updates to the Case-Mix Adjustment (CMA) Methods document which describes refinements to the CMA model, updated coefficients and means from Quarter 2 2017 to Quarter 1 2018 for CAHPS Hospice Survey has been posted on the Scoring and Analysis page. To view or download these documents, please click here.

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UPDATED: CAHPS Hospice Survey State Scores Posted (11/30/2018)

The CAHPS Hospice Survey State Score document for the upcoming public reporting period (second quarter of 2016 through the first quarter of 2018) is available here.

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UPDATED: CAHPS Hospice Survey National Percentiles Posted (11/30/2018)

The CAHPS Hospice Survey National Percentiles document for the upcoming public reporting period (second quarter of 2016 through the first quarter of 2018) is available here.

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Extraordinary Circumstances Extension / Exception (ECE) due to Hurricane Michael (11/2/2018)

The purpose of this communication is to notify Post-Acute Care providers of the Centers for Medicare & Medicaid Services (CMS) intent to grant quality reporting data submission and validation exceptions to Medicare providers in several care settings adversely affected by the devastating impact of Hurricane Michael, including Long-Term Care Hospitals (LTCHs), Inpatient Rehabilitation Facilities (IRFs), Hospices, Home Health Agencies, and Skilled Nursing Facilities (SNFs). CMS is issuing exceptions for several quality reporting data submission requirements because of possible damage to facilities and/or systems resulting in their inability to gather or submit data, as well as the need to prioritize immediate resources for direct patient care.

Specifically, for the specified reporting quarter(s), as indicated in this communication, affected providers will not be required to submit quality measure data to meet submission requirements.

CMS is exercising its authority to grant exceptions for data submission requirements for the above quality reporting programs for providers located within the Federal Emergency Management Agency (FEMA)-designated “major disaster” counties of Florida, and Georgia listed below:

Florida Counties

Georgia Counties

  • Bay
  • Calhoun
  • Franklin
  • Gadsden
  • Gulf
  • Hamilton
  • Holmes
  • Jefferson
  • Jackson
  • Leon
  • Liberty
  • Madison
  • Suwannee
  • Taylor
  • Wakulla 
  • Washington
  • Baker 
  • Bleckley 
  • Calhoun
  • Colquitt
  • Crisp
  • Decatur
  • Dodge
  • Dooly
  • Dougherty
  • Early
  • Emmanuel
  • Grady
  • Houston
  • Jefferson
  • Jefferson
  • Lee
  • Macon
  • Miller
  • Mitchell
  • Pulaski
  • Seminole
  • Sumter
  • Terrell
  • Thomas
  • Treutlen
  • Turner
  • Wilcox
  • Worth


The healthcare providers located outside of the counties listed above are not covered by this communication, but may request an exception to the reporting requirements under one or more Medicare quality reporting or value-based purchasing programs it participates in using the applicable extraordinary circumstances exception procedure for the respective program(s). CMS will assess and decide upon each extraordinary circumstances exception request on a case-by-case basis.

CMS recommends visiting the FEMA website at https://www.fema.gov for the most up to date list of counties affected by Hurricane Michael. Please note that Medicare providers located outside of the counties covered under this memo, and in need of an extension or exception from program requirements are required to follow the submission process described at the bottom of this memo.

Hospice Quality Reporting Program (QRP)

For the following Hospice QRP requirements and discharged quarters listed below, CMS grants a blanket exception for all Hospices in the above-designated counties.

Hospices participating in the CMS Hospice QRP are granted an exception from the data reporting requirements of the Hospice QRP, specifically the data submitted via the Hospice Item Set (HIS) and the Hospice Consumer Assessment of Healthcare Providers and Systems (Hospice CAHPS®) survey. The CAHPS Hospice Survey exception will apply to “Q3 2018 and Q4 2018 decedents,” or hospice patients who died between July-December 2018

Hospices located in covered counties are granted an exception from reporting quality data to CMS, as described above, for the following reporting quarters:

  • July 1, 2018 – September 30, 2018 (3rd Quarter 2018)
  • October 1, 2018 – December 31, 2018 (4th Quarter 2018)

We would like to note that this exception from quality reporting requirements for the above-listed CMS QRPs may impact the minimum case threshold counts for calculation of quality metrics. While you can continue to submit data to CMS, any data submissions for the above-listed exempt CY 2018 quarters will not be considered when determining compliance related to the FY 2020 reporting requirements for your hospital or facility. That is, you will not be held accountable for quality data collected and submitted during the 2018 quarters identified above. Please also note that this may affect the minimum amount of data needed to calculate specific quality measures for public reporting purposes, in which case CMS would suppress the applicable data on the respective Compare sites, when quality measure data are calculated and posted.

Exception and Extension Request Process

Hospitals and Facilities in other counties and states may submit ECE Requests for data submission based on individual circumstances by one of the following processes:


 Applicability of Quality Reporting Requirements for Hospices Affected by Hurricane Florence (10/19/2018)

The Centers for Medicare & Medicaid Services (CMS) is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to hospitals, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, renal dialysis facilities, long-term care hospitals, and ambulatory surgical centers, as well as Merit-Based Incentive Payment System (MIPS)eligible clinicians, located in areas affected by Hurricane Florence due to the devastating impact of the storm. These healthcare providers and suppliers will be granted exceptions if they are located in one of the North Carolina or South Carolina counties listed below, all of which have been designated by the Federal Emergency Management Agency (FEMA) as a major disaster county.

The scope and duration of the exception under each Medicare quality reporting program and value-based purchasing program is described below.  CMS is granting exceptions to assist these providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.

CMS is closely monitoring the situation for future potential widespread catastrophic events, and will update exception lists soon after any events occur in the future.

The affected counties designated by FEMA under the North Carolina Hurricane Florence (DR-4393) and the South Carolina Hurricane Florence (DR-4394) Major Disaster Declarations, as of the date of this communication, are as follows:  

North Carolina Counties

South Carolina Counties

  • Beaufort
  • Bladen
  • Brunswick
  • Carteret
  • Columbus
  • Craven
  • Cumberland
  • Duplin
  • Greene
  • Harnett
  • Hoke
  • Hyde
  • Johnston
  • Jones
  • Lee 
  • Lenoir
  • Moore
  • New Hanover
  • Onslow
  • Pamlico
  • Pender
  • Pitt
  • Richmond
  • Robeson
  • Sampson
  • Scotland
  • Wayne
  • Wilson
  • Berkeley 
  • Charleston
  • Chesterfield
  • Darlington
  • Dillon
  • Dorchester
  • Florence
  • Georgetown
  • Horry
  • Marion
  • Marlboro
  • Orangeburg
  • Sumter
  • Williamsburg


The healthcare providers located outside of the counties listed above are not covered by this communication, but may request an exception to the reporting requirements under one or more Medicare quality reporting or value-based purchasing programs it participates in using the applicable extraordinary circumstances exception procedure for the respective program(s). CMS will assess and decide upon each extraordinary circumstances exception request on a case-by-case basis.

If FEMA expands the current disaster declaration for Hurricane Florence to include additional counties, CMS will update this communication to reflect the expanded list of applicable counties for which healthcare providers would be eligible to receive an exception without submitting a request. In addition, CMS will continue to monitor the situation and adjust exempted reporting periods and submission deadlines accordingly.

Home Health Agencies (HHAs), Hospices, Inpatient Rehabilitation Facilities (IRFs), Long-Term Care Hospitals (LTCHs), and Skilled Nursing Facilities (SNFs)

CMS is granting an exception to all Quality Reporting Program (QRP) reporting requirements, including the reporting of data on measures and any other data requested by CMS for the post-acute care (PAC) quality reporting programs for calendar year 2018 quarters 3 and 4 (July 1 to December 31, 2018):

  • Hospices – Hospice QRP

For further information about exceptions, view the program-specific web page:


CAHPS Hospice Survey Quality Assurance Guidelines Version 5.0 is Now Available (09/19/2018)

The CAHPS Hospice Survey administration protocols are contained in the CAHPS Hospice Survey Quality Assurance Guidelines Version 5.0 (QAG V5.0). To view or download the QAG V5.0, please click on the left hand Quality Assurance Guidelines navigation button.

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 Fiscal Year 2019 Hospice Final Rule Released (08/23/2018)

CMS released the final rule for the fiscal year (FY) 2019 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements on August 6, 2018. The FY 2019 hospice final rule can be accessed by clicking here: https://www.federalregister.gov/documents/2018/08/06/2018-16539/medicare-program-fy-2019-hospice-wage-index-and-payment-rate-update-and-hospice-quality-reporting.  

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 Step-by-Step Guide for Calculating CAHPS Hospice Survey Top-, Middle-, and Bottom-Box Scores Document Posted (03/01/2018)

Updates to the document for calculating CAHPS Hospice Survey Top-, Middle-, and Bottom-Box Scores has been posted on the Scoring and Analysis page. To view or download this document, please click on the left hand Scoring and Analysis navigation button.

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This page was last modified on 12/17/2018