CAHPS® Hospice Survey

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Quick Links:  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 Posted | NEW: CAHPS Hospice Survey ICD-10 Codes Used for Case-Mix Adjustment Calculations Posted | CAHPS Hospice Survey Attestation Statement Now Available | UPDATED: Technical Corrections and Clarifications to the CAHPS Hospice Survey Quality Assurance Guidelines V6.0 (QAG V6.0) Document Posted | CAHPS Hospice Survey Quality Assurance Guidelines V6.0 is Now Available | CAHPS Hospice Survey Training Materials are Now AvailableApplicability of Quality Reporting Requirements for Hospices Affected by Tropical Storm/Hurricane Barry | Fiscal Year 2020 Hospice Final Rule ReleasedREMINDER: CY 2019 Participation Exemption for Size Form Available | UPDATED: Step-by-Step Guide for Calculating CAHPS Hospice Survey Top-, Middle-, and Bottom-Box Scores Document Posted | CAHPS Hospice Survey Results Available on Hospice Compare | Fiscal Year 2020 Hospice Proposed Rule Released |  Applicability of Quality Reporting Requirements for Hospices Affected by California Wildfires (DR-4407) 

UPDATED: CAHPS Hospice Survey Response Rate (11/29/2019)

The CAHPS Hospice Survey response rate for the upcoming public reporting period (second quarter of 2017 through the first quarter of 2019) is available here.

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UPDATED: Case-Mix Adjustment Methods for CAHPS Hospice Survey Measures Document Posted (11/29/2019)

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 2019 for CAHPS Hospice Survey is available here.

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UPDATED: CAHPS Hospice Survey State Scores Posted (11/29/2019)

The CAHPS Hospice Survey state score document for the upcoming public reporting period (second quarter of 2017 through the first quarter of 2019) is available here.

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UPDATED: CAHPS Hospice Survey National Percentiles Posted (11/29/2019)

The CAHPS Hospice Survey state score document for the upcoming public reporting period (second quarter of 2017 through the first quarter of 2019) is available here.

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NEW: CAHPS Hospice Survey ICD-10 Codes Used for Case-Mix Adjustment Calculations Posted (11/29/2019)

The CAHPS Hospice Survey list of ICD-10 codes used for the Case-Mix Adjustment calculations is available here.

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CAHPS Hospice Survey Attestation Statement Now Available (10/10/2019)

CAHPS Hospice Survey vendors approved to administer the CAHPS Hospice Survey must submit an updated CAHPS Hospice Survey Attestation Statement. Please click here to view and print the CAHPS Hospice Survey Attestation Statement form. The executed form must be submitted to the CAHPS Hospice Survey Project Team via email at hospicecahpssurvey@hsag.com by December 13, 2019.

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UPDATED: Technical Corrections and Clarifications to the CAHPS Hospice Survey Quality Assurance Guidelines V6.0 (QAG V6.0) Document Posted (10/10/2019)

The CAHPS Hospice Survey Technical Corrections and Clarifications to the CAHPS Hospice Survey Quality Assurance Guidelines V6.0 (QAG V6.0) document has been posted. Following the release of the CAHPS Hospice Survey Quality Assurance Guidelines V6.0 (QAG 6.0), it has been determined that specific content items require correction, addition and/or further clarification.

Revisions were made to the CAHPS Hospice Survey Spanish Telephone Script instructions.

This document may be accessed by clicking here.

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CAHPS Hospice Survey Quality Assurance Guidelines Version 6.0 is Now Available (9/20/2019)

The CAHPS Hospice Survey administration protocols are contained in the CAHPS Hospice Survey Quality Assurance Guidelines Version 6.0 (QAG V6.0). To view or download the QAG V6.0, please click on the left hand Quality Assurance Guidelines navigation button. 

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 CAHPS Hospice Survey Training Materials are Now Available (09/20/2019)

 To view or download the agenda or PowerPoint slides for the September 26, 2019 CAHPS Hospice Survey Update Training session, please click on the left hand Training Materials navigation button. 

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Applicability of Quality Reporting Requirements for Hospices Affected by Tropical Storm/Hurricane Barry (9/13/2019)

The Centers for Medicare & Medicaid Services (CMS) is granting exceptions[1] 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 Tropical Storm/Hurricane Barry 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 Louisiana parishes listed below, all of which have been designated by the Federal Emergency Management Agency (FEMA) as an emergency disaster parish.

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 parishes designated by FEMA under the Tropical Storm Barry Emergency Declaration (EM-3416) and Hurricane Barry Major Disaster Declaration (DR-4458) for Louisiana, as of the date of this communication, are as follows:

                                                          Louisiana

• Acadia
• Allen
• Ascension
• Assumption
• Avoyelles
• Beauregard
• Calcasieu
• Cameron
• Catahoula
• East Baton Rouge
• East Feliciana
• Evangeline
• East Baton Rouge
• East Feliciana

• Evangeline
• East Baton Rouge
• East Feliciana
• Evangeline
• Iberia I
• Iberville
• Jefferson
• Jefferson Davis
• Lafayette
• Lafourche
• Livingston
• Orleans
• Ouachita

• Plaquemine
• Pointe Coupee
• Rapids
• St. Bernard
• St. Charles
• St. Helena
• St. James
• St. John the Baptist
• St Landry.
• St. Martin
• St. Mary

 

• St. Tammany
• Tangipahoa
• Terrebonne
• Vermilion
• Vernon
• Washington
• West Baton Rouge
• West Feliciana

 

The healthcare providers located outside of the parishes 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 emergency disaster declaration for Tropical Storm/Hurricane Barry to include additional parishes, CMS will update this communication to reflect the expanded list of applicable parishes 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 2019 for the following quarters specific to each program:

Hospices – Hospice QRP Q3, (July 1, 2019-September 30, 2019)

PAC QRP Extraordinary Circumstances Exception Request Information 

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

[1] The terminology “exception” is used as a general term intended for ease of reference, to collectively refer to policies established under separate programs, and may not be consistent with the specific terminology established under each individual program.

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Fiscal Year 2020 Hospice Final Rule (08/29/2019)

On August 6, 2019, CMS issued a final rule to update the Medicare hospice wage index, Medicare hospice payment rates and cap amount for Fiscal Year (FY) 2020. For more information, please visit: https://www.federalregister.gov/documents/2019/08/06/2019-16583/medicare-program-fy-2020-hospice-wage-index-and-payment-rate-update-and-hospice-quality-reporting.

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REMINDER: CY 2019 Participation Exemption for Size Form Available (06/14/2019) 

The Participation Exemption for Size Form for the calendar year (CY) 2019 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 2018 (January 1, 2018 through December 31, 2018 [or from assignment of CCN]) can apply for an exemption from participation in the CAHPS Hospice Survey for CY 2019.

To view or complete the 2019 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, 2019.

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@hsag.com or 1-844-472-4621. 

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UPDATED: Step-by-Step Guide for Calculating CAHPS Hospice Survey Top-, Middle-, and Bottom-Box Scores Document Posted (5/30/2019) 

Updates to the document for calculating CAHPS Hospice Survey Top-, Middle-, and Bottom-Box Scores have 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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CAHPS Hospice Survey Results Available on Hospice Compare (05/28/2019) 

The May 2019 quarterly Hospice Compare refresh of quality data is now available. The current reporting period covers hospice care experiences from the third quarter of 2016 through the second quarter of 2018 (7/1/2016 through 6/30/2018) 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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Fiscal Year 2020 Hospice Proposed Rule Released (05/09/2019)

CMS issued a proposed rule to update the Medicare hospice wage index, Medicare hospice payment rates and cap amount for Fiscal Year (FY) 2020 on April 25, 2019. For more information, please visit: https://www.federalregister.gov/documents/2019/04/25/2019-08143/medicare-program-fy-2020-hospice-wage-index-and-payment-rate-update-and-hospice-quality-reporting

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Applicability of Quality Reporting Requirements for Hospices Affected by California Wildfires (DR-4407) (01/14/2019) 

The Centers for Medicare & Medicaid Services (CMS) is granting exceptions [1] under certain Medicare quality reporting and value-based purchasing and payment programs to acute care hospitals, Prospective Payment System (PPS)-exempt cancer 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 the California wildfires due to the devastating impact of the fires. These healthcare providers and suppliers will be granted exceptions without submitting a request if they are located in one of the California 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 and payment program are described below. CMS is granting exceptions to assist these healthcare providers while they direct their resources toward caring for their patients and repairing structural damages to facilities. Facilities that are able to, and choose to do so, may submit their data and continue participation in the program.

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 California Wildfires (DR-4407) as of the date of this communication, are as follows:

California Counties
  • Butte
  • Los Angeles
  • Ventura


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 and payment programs they participate 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 the California wildfires 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) QRPs.  

  • Hospices – Hospice QRP Quarter 4 (October 1, 2018 to December 31, 2018)

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


[1] The terminology “exception” is used as a general term intended for ease of reference, to collectively refer to policies established under separate programs, and may not be consistent with the specific terminology established under each individual program.

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 This page was last modified on 11/29/2019