Home Health QRP Spotlight and Announcements

Now available! Our new Provider Data Catalog makes it easier for you to search & download our publicly reported data. We’ve also improved Medicare’s Compare sites.

About this Page

The page provides recent news and updates pertinent to the Home Health Quality Reporting Program. On this page you will find announcements about posting of resource guides and fact sheets, the availability of Q&A documents, information about Home Health Compare, among other notifications. Questions about home health quality measures, including the Quality of Patient Care star ratings, can be sent to HomeHealthQualityQuestions@cms.hhs.gov. For any other questions, please see the Home Health Quality Reporting Program Help Desks webpage to identify the correct contact email and/or phone number.

Find program guidance and information about our response to COVID-19 here: COVID-19 Updates.

Updates

 

November 10, 2021

NOW AVAILABLE IN iQIES - Preview Reports and Star Rating Preview Reports for the January 2022 Refresh

For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) measure scores are based on three quarters of OASIS assessment data, due to the temporary exemption to the HH Quality Reporting Program (QRP) data submission requirements in response to the COVID-19 Public Health Emergency.  We would also like to note that the claims-based quality measures within this preview report have not been updated, as CMS has decided to continue with the data freeze for claims-based measures for an additional six months.  This decision will allow CMS more time to analyze the calculation of these measures, given the required comprehensive exclusion of claims data that occurred during Q1 2020 and Q2 2020, and the effect of that missing data on such aspects of measure calculation as lookback periods, and risk adjustment.  We are targeting the July 2022 refresh of Care Compare for the resumption of HH claims-based measure updates on Care Compare.   For additional information, please see the HH QRP COVID-19 Public Reporting Tip Sheet in the downloads section of the HH Quality Reporting Training webpage and the HH QRP Rider contained within the FY 2022 Hospice Wage Index and Payment Update Final Rule.

The HHCAHPS Survey Preview Reports are available only on the HHCAHPS Survey website, https://homehealthcahps.org.  HHAs go into the secure portal called “For HHAs” to view their agency’s preview reports.  HHAs are encouraged to routinely go into the “For HHAs” portal to view their survey vendor’s data submission reports.  If HHAs forget their ID and password, please email RTI at HHCAHPS@RTI.org or call RTI toll-free at (866) 354-0985.

November 10, 2021

NEW RESOURCES AVAILABLE: Job Aids – GG0130A. Eating, GG0130B. Oral Hygiene, GG0130C. Toileting Hygiene, GG0130E. Shower/Bathe Self, GG0130F. Upper Body Dressing, GG0130G. Lower Body Dressing, and GG0130H. Putting On/Taking Off Footwear

These resources can be accessed through the Home Health Quality Reporting Program (QRP) Training page.

November 10, 2021

NEW RESOURCES AVAILABLE: Quick Assessment Reference Pocket Guides / Badge Buddies for Coding

These resources can be accessed through the Home Health Quality Reporting Program (QRP) Training page.

November 04, 2021

Medicare and Medicaid Programs: Omnibus COVID-19 Health Care Staff Vaccination

CMS displayed the Interim final rule with comment period. The emergency regulation is effective as of November 5, 2021.

SUMMARY: This interim final rule with comment period revises the requirements that most Medicare- and Medicaid-certified providers and suppliers must meet to participate in the Medicare and Medicaid programs. These changes are necessary to help protect the health and safety of residents, clients, patients, PACE participants, and staff, and reflect lessons learned to date as a result of the COVID-19 public health emergency. The revisions to the requirements establish COVID-19 vaccination requirements for staff at the included Medicare- and Medicaid certified providers and suppliers.

Stakeholders have 60 days to submit formal comment on the emergency regulation. It is important to note that since this is an emergency regulation, the requirements will go into effect immediately and before any additional response is provided on the comments by CMS. The comment period officially closes on January 4, 2022.

The interim final rule went on display at the Federal Register’s Public Inspection Desk and will be available at https://www.federalregister.gov/public-inspection/2021-23831/medicare-and-medicaid-programs-omnibus-covid-19-health-care-staff-vaccination To view a list of frequently asked questions, visit: www.cms.gov/files/document/cms-omnibus-staff-vax-requirements-2021.pdf (PDF)

November 02, 2021

Medicare and Medicaid Programs; CY 2022 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model Requirements and Proposed Model Expansion; Home Health Quality Reporting Requirements; Home Infusion Therapy Services Requirements; Survey and Enforcement Requirements for Hospice Programs; Medicare Provider Enrollment Requirements; Inpatient Rehabilitation Facility Quality Reporting Program Requirements; and Long-term Care Hospital Quality Reporting Program Requirements CMS 1747-F

On November 2, 2021 the Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1747-F). The final rule included updates to and finalized proposals for the Home Health Quality Reporting Program (HH QRP).

The rule went on display at the Federal Register’s Public Inspection Desk and will be available under “Special Filings,” at https://www.federalregister.gov/public-inspection.”

October 28, 2021

CMS identified on Monday, October 18, 2021 a problem with receiving emails via our reconsideration email address (HHAPUReconsiderations@cms.hhs.gov). The problem was resolved on Friday, October 22, 2021.  We are extending the deadline for HHAs to file a reconsideration to November 17, 2021 at 11:59 pm (which represents an additional week).

October 26, 2021

NEW UPDATED TRAINING AVAILABLE: Section GG 3-Course Training Series

New updated training available for Section GG 3-Course Training Series. Please find details at the Home Health QRP Training & Education Library.

October 19, 2021

NOW AVAILABLE- Updated Quarterly OASIS Q&As

October 2021 OASIS Q&A’s are available in the OASIS Quarterly Q&As section of the CMS QTSO webpage, https://qtso.cms.gov/providers/home-health-agency-hha-providers/reference-manuals .

October 08, 2021

Home Health Quality Reporting Program: Non-Compliance Notifications

CMS is providing notifications to home health agencies that were determined to be out of compliance with the Home Health Quality Reporting Program (HHQRP) requirements for calendar year (CY) 2020, which will affect their calendar year (CY) 2022 Annual Payment Update (APU). Non-compliance notifications will be distributed by the Medicare Administrative Contractors (MACs) and will be placed into HHA’s My Reports folders in iQIES on October 8, 2021. Facilities that receive a letter of non-compliance may submit a request for reconsideration to CMS via email no later than 11:59 pm, November 10, 2021. If you receive a notice of non-compliance and would like to request a reconsideration, see the instructions in your notification and on the Home Health Quality Reporting Reconsideration and Exception & Extension webpage.

Please note: Any reconsideration containing protected health information (PHI) will not be processed. All PHI must be removed in order for a reconsideration to be reviewed.

October 05, 2021

Hurricane Ida

Although the Home Health Agency Quality Reporting Program is not granting automatic exceptions or extensions related to Hurricane Ida, CMS recognizes that some providers may have been affected by Hurricane Ida.  If you are a HHQRP provider that was directly impacted by Hurricane Ida, please refer to the Home Health QRP page below to find out about filing a timely reconsiderations extension or exception. For further information about this Hurricane Ida disaster specific memo, please check the downloads section here:

August 31, 2021

Home Health QRP Website Update

CMS has updated the Data Submission Deadlines webpage, providing an updated schedule for QAO reports and for Care Compare refreshes in CY2022.

August 13, 2021

NEW WEBINAR AVAILABLE – Home Health Quality Reporting Program – OASIS Interim Guidance Webinar (Advanced Webinar)

The Centers for Medicare & Medicaid Services (CMS) has developed a new training for Home Health providers intended to highlight some significant OASIS guidance refinements that are available in recent Quarterly Q&A releases.

Please note that this webinar is NOT intended to provide basic or comprehensive OASIS training. Listeners are expected to have foundational knowledge in OASIS data collection and guidelines. The link to the recording of this webinar and handout material is available on the Home Health Quality Reporting Program Training page.

July 29, 2021

Fiscal Year 2022 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice Quality Reporting Program Requirements, and Home Health Quality Reporting Program Final Rule CMS-1754-F

On July 29, 2021 the Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1754-F) that provided updates to and finalized proposals for fiscal year (FY) 2022 Hospice Quality Reporting Program (HQRP). This rule includes finalizations for changes to the Home Health Quality Reporting Program beginning with January 2022 to address exceptions related to the COVID-19 public health emergency. We included Home Health in this rule because we will resume public reporting for the HH QRP with the January 2022 refresh of Care Compare. In order to accommodate the exception of 2020 Q1 and Q2 data, we finalized the resumption of public reporting using 3 out of 4 quarters of data for the January 2022 refresh. In order to complete this proposal in time to release the required preview report related to the refresh, which we release 3 months prior to any given refresh (Oct. 2021), we needed the rule containing this proposal to finalize by October 2021.

The final rule went on display at the Federal Register’s Public Inspection Desk and will be available under “Special Filings,” at https://www.federalregister.gov/public-inspection.

For further information, visit http://www.cms.gov/Center/Provider-Type/Hospice-Center.htm.

July 23, 2021

July 2021 Quarterly Refresh for the Home Health Quality Reporting Program

The July 2021 refresh is now available on Care Compare, the streamlined redesign of eight former CMS healthcare compare tools on Medicare.gov, including Home Health Compare. Five OASIS-based measures were removed from Care Compare:

  • Depression Assessment Conducted
  • Diabetic Foot Care and Patient/Caregiver Education Implemented during All Episodes of Care
  • Multifactor Fall Risk Assessment Conducted for All Patients Who Can Ambulate
  • Pneumococcal Polysaccharide Vaccine Ever Receive
  • Improvement in the Status of Surgical Wounds

 

Find additional detail regarding the removal of the five OASIS measures in the CY2019 Medicare Home Health Prospective Payment System Final Rule on the Home Health Quality Reporting Requirements page.

In addition, we have updated demographic information for several home health agencies.

Please note that all OASIS and Claims measures remain frozen due to the temporary exemption to the HHQRP data submission requirements in responding to the COVID-19 Public Health Emergency (PHE). For additional information on COVID-19 PHE data exemption, please see the Home Health COVID-19 Public Health Emergency Tip Sheet (PDF) in the Downloads section of the Home Health Quality Reporting Training page. For more information about public reporting, please see the Home Health Quality Reporting Data Submission Deadlines webpage.    

July 20, 2021

NOW AVAILABLE- Updated Quarterly OASIS Q&As 

July 2021 OASIS Q&A's are available in the OASIS Quarterly Q&As section of the CMS QTSO webpage, https://qtso.cms.gov/providers/home-health-agency-hha-providers/reference-manuals . 

June 28, 2021

Medicare and Medicaid Programs; CY 2022 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model Requirements and Proposed Model Expansion; Home Health Quality Reporting Requirements; Home Infusion Therapy Services Requirements; Survey and Enforcement Requirements for Hospice Programs; Medicare Provider Enrollment Requirements; Inpatient Rehabilitation Facility Quality Reporting Program Requirements; and Long-term Care Hospital Quality Reporting Program Requirements CMS 1747-P

On June 28, 2021 the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1747-P) that provides updates to and proposals for calendar year (CY) 2022 Home Health Quality Reporting Program (HH QRP).  The HH QRP proposals include: a proposal to remove the Drug Education on all Medications Provided to Patient/Caregiver Measure, a proposal to replace ACH and ED Use QMs with the PPH QM, and a proposal revising the compliance date for certain reporting requirements. This rule also includes a proposal for revisions to compliance dates for the Inpatient Rehabilitation Facility and Long-term Care Hospital Quality Reporting Programs. The HH QRP NPRM also includes two requests for information. The first is seeking public input on Digital Quality Measures and Fast Healthcare Interoperability Resources (FHIR) and the second requests input on closing the Health Equity Gap in Post-Acute Care Quality Reporting Programs.

The proposed rule went on display at the Federal Register’s Public Inspection Desk and will be available under “Special Filings,” at https://www.federalregister.gov/public-inspection

April 20, 2021

NOW AVAILABLE- Updated Quarterly OASIS Q&As 

April 2021 OASIS Q&A's are available in the OASIS Quarterly Q&As section of the CMS QTSO webpage.

April 08, 2021

Fiscal Year 2022 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice Quality Reporting Program Requirements, and Home Health Quality Reporting Program Proposed Rule CMS-1754-P

On April 08, 2021 the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1754-P) that includes a proposal for changes to the Home Health Quality Reporting Program (HH QRP) beginning January 2022 to address exceptions related to the COVID-19 public health emergency.  We include this Home Health proposal in this rule because we plan to resume public reporting for the HH QRP with the January 2022 refresh of Care Compare.  Due to the January 1, 2022 effective date rule, finalization of this proposal must be completed by October 1, 2021, the required preview reports related to the refresh being released 3 months prior. 

The proposed rule went on display at the Federal Register’s Public Inspection Desk and will be available under “Special Filings,” at https://www.federalregister.gov/public-inspection.

February 26, 2021

NEW TRAINING AVAILABLE – Section J: Health Conditions – Coding the Standardized Patient Assessment Data Elements (SPADEs) Related to Falls

Can be accessed via the Home Health Quality Reporting Training webpage.

February 17, 2021

The risk adjustment model and coefficients for OASIS-based outcome measures were updated to remove risk factor based on OASIS assessment items that are now voluntary. This updated risk adjustment model is applicable for quality episodes starting January 1, 2021. The documentation and updated risk adjustment model coefficients are located in the Downloads section of the Home Health Quality Measures webpage.

February 12, 2021

NEW TRAINING EVENT – Section N: Medications – Drug Regimen Review Web-Based Training

Can be accessed via the Home Health Quality Reporting Training webpage.

January 20, 2021

NOW AVAILABLE- Updated Quarterly OASIS Q&As

January 2021 OASIS Q&A's are available in the OASIS Quarterly Q&As section of the CMS QTSO webpage.

January 13, 2021

NEW TRAINING EVENT – Section M: Skin Conditions - Assessment and Coding of Pressure Ulcers/Injuries Web-Based Training

Can be accessed via the Home Health Quality Reporting Training webpage.

January 13, 2021

NEW TRAINING EVENT – From Data Elements to Quality Measures – Cross-Setting QRP Web-Based Training.

Can be accessed via the Home Health Quality Reporting Training webpage.

November  01, 2020

October 2020 Quarterly Refresh for the Home Health Quality Reporting Program

The October 2020 quarterly refresh for the Home Health Quality Reporting Program is now available on Care Compare. Care Compare is the recently launched, streamlined redesign of eight existing CMS healthcare compare tools on Medicare.gov, including Home Health Compare. Please visit Care Compare or Home Health Compare to view the new and updated quality data which for this quarter will contain the annual refresh of the claims-based measures (Please note that the October 2020 refresh of the Home Health Compare/Care Compare Sites is the last scheduled refresh of this data until the January 2022 refresh. For additional information, please review the available Home Health QRP Public Reporting Tip Sheet.)

October 30, 2020

Update to the Home Health Quality Reporting Program Measure Calculations and Reporting User’s Manual, Version 1.0

The HH QRP QM User’s Manual has been updated to reflect quality measure changes since the launch of the Manual in August 2019. These changes include measure additions and removals and corrections or clarifications as needed. Please visit Home Health Quality Measures and reference the updated Manual and summary listing of changes in the QM Manual Addendum Change Table in the Downloads section of the webpage.

September 08, 2020

Home Health QRP COVID-19 PR Tip Sheet is Available

The Home Health COVID-19 PR Tip Sheet is now available. The purpose of this Tip Sheet is to help providers understand CMS’ public reporting strategy for the PAC QRP in the midst of the COVID-19 public health emergency (PHE). This Tip Sheet explains the CMS strategy to account for CMS quality data which were exempted from public reporting due to COVID-19, and the impact on CMS’ Home Health Agency (HHA) Compare website refreshes. Please navigate to the Home Health QRP Training webpage to download this document.

Home Health Quality Reporting Archives

 

Page Last Modified:
11/19/2021 09:10 AM