Home Health QRP Spotlight and Announcements

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 resource guides and fact sheets, the availability of Q&A documents, and 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

April 21, 2025

Re-Release of Preview Reports for the July 2025 Refresh of HH QRP Data – CORRECTED DATA NOW AVAILABLE IN iQIES 

CMS recently discovered an error in the Discharge Function quality measure scores that were included in the 4/2/25 release of Home Health July 2025 Preview Reports.  The inaccurate scoring affected approximately 16% of HH providers and was caused by a technical error, which has now been resolved.

The HHA Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on the compare tool on Medicare.gov and the Provider Data Catalog (PDC) during the July 2025 refresh.  CMS has extended the current preview period until May 21, 2025 to allow a full 30-day review period.

For additional information, please see the HH Quality Reporting Training webpage and the Home Health Data Submission Deadlines webpage.

April 15, 2025

NOW AVAILABLE- Updated Quarterly OASIS Q&As 

April 2025 CMS OASIS Quarterly 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 .

January 21, 2025

NOW AVAILABLE- Updated Quarterly OASIS Q&As 

January 2025 CMS OASIS Quarterly 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 .

January 15, 2025

NOW AVAILABLE: Frequently Asked Questions Document and Methodology Report for the Screen Positive for Health-Related Social Needs Indicator Confidential Feedback Report (available in HH, IRF, and LTCH)

CMS has released a Frequently Asked Questions (FAQ) Document and Methodology Report to answer key questions and provide methodological information about the Screen Positive for Health-Related Social Needs (HRSN) Indicator Confidential Feedback Report.1 To access these and other materials relating to the Screen Positive for HRSN Indicator report, please go to the following Post-Acute Care Quality Reporting Program Training & Education pages: 

1 CMS released the initial Screen Positive for HRSN Indicator report to Home Health, Inpatient Rehabilitation Facility, and Long-Term Care Hospital providers in October 2024. CMS plans to release this report to Skilled Nursing Facility providers beginning in October 2025, when a full Fiscal Year of data (October 1, 2024 – September 30, 2025) will become available for the first time.

January 15, 2025

Public Reporting January 2025 Refresh of HH QRP Data – Now Available

The January 2025 quarterly refresh for the Home Health Quality Reporting Program is now available on the compare tool on Medicare.gov and the Provider Data Catalog (PDC). For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) will be based on the standard number of quarters. 

In addition, three OASIS measures have been added for the January 2025 refresh: 

  • Transfer of Health Information to the Provider
  • Transfer of Health Information to the Patient
  • Discharge Function Score

The January 2025 refresh also includes the removal of one OASIS measure: 

  • Application of Percent of Patients with an Admission and Discharge Functional Assessment and a Care Plan that Addresses Function Process

CMS has also posted results from the calendar year (CY) 2023 performance year for the expanded Home Health Value-Based Purchasing (HHVBP) Model. The data can be viewed on the PDC.

January 8, 2025

NOW AVAILABLE IN iQIES - Preview Reports and Star Rating Preview Reports for the April 2025 Refresh 

For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) measures have been updated.

For additional information, please see the HH Quality Reporting Training webpage and the Home Health Data Submission Deadlines webpage. 

January 1, 2025

Updates to providing OASIS Privacy Notice

As required by the HH Conditions of Participation (COP), an OASIS privacy notice must be provided to all patients for whom the OASIS data is collected. Due to the transition to OASIS data collection for all patients, regardless of payer, effective January 1, 2025 Home Health Agencies should only provide patients with the CMS Privacy Act Statement and Attachment A - Statement of Patient Privacy Rights. These forms are available on the Home Health Agency Center webpage in the OASIS section. Both documents are available in English and Spanish.

Beginning January 1, 2025 and until further notice, Attachment C – Notice About Privacy for Patients Who Don’t Have Medicare or Medicaid should not be provided to patients.

December 23, 2024

NOW AVAILABLE- Final version of the OASIS-E1 All Items Instrument

The final version of the OASIS-E1 All Items instrument is now available in the Downloads section of the OASIS Data Sets webpage. 

December 20, 2024

NEW AND UPDATED RESOURCES AVAILABLE: All-Payer Transition for OASIS

The Centers for Medicare & Medicaid Services (CMS) is offering an updated web-based training course that provides an introduction to the HH QRP as well as a fact sheet regarding the end of the temporary suspension of Outcome and Assessment Information Set (OASIS) data collection on non-Medicare/non-Medicaid Home Health Agency (HHA) patients.

These resources can be accessed through the Home Health Quality Reporting Training webpage

December 16, 2024

NOW AVAILABLE- Final OASIS-E1 Time Points Instruments 

The final OMB-approved OASIS-E1 time points Instruments, effective 1/1/2025, are now available in a zip file in the Downloads section of the OASIS Data Sets webpage. 

A change table OASIS-E1 Instruments March 2024 – December 2024 Changes, also available in the Downloads section of the OASIS Data Sets webpage, lists minor corrections from the draft to final versions. The final OASIS-E1 All Items instrument will be posted when available.

December 12, 2024

NOW AVAILABLE- Final version of the OASIS-E1 Manual and Change Table

The final version of the OASIS-E1 Manual, and the change table OASIS-E1 Changes from May 2024 Draft to Dec 2024 Final Manual, are now available in the Downloads section of the OASIS User Manuals webpage.

November 27, 2024

NOW AVAILABLE- The updated CMS Q&As and the new CMS Home Health All-Payer OASIS Q&As are available. The CMS Q&As, effective November 2024, are available in the OASIS-E1 Q&As section of the CMS QTSO webpage https://qtso.cms.gov/providers/home-health-agency-hha-providers/reference-manuals The CMS Home Health All Payer OASIS Q&As are posted in the Downloads section of the CMS OASIS User Manuals webpage https://www.cms.gov/medicare/quality/home-health/oasis-user-manuals

November 20, 2024

NOW AVAILABLE- Discharge Function Score (DC Function) Quality Measure Overview 

CMS has posted the Discharge Function Score (DC Function) Quality Measure Overview in the downloads section on the Home Health Quality Measures webpage. This document is intended to provide Home Health providers with information on the Discharge Function Score (DC Function) quality measure. This measure is included in the HHQRP and the expanded Home Health Value-Based Purchasing (HHVBP) Model and is now available on the home health iQIES reports for the HHQRP.    

October 25, 2024

Home Health Quality Reporting Program: Non-Compliance Notifications

The Centers for Medicare & Medicaid Services (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) 2025 Annual Payment Update (APU). Non-compliance notifications will be distributed by the Medicare Administrative Contractors (MACs) and will be placed into Home Health Agencies (HHA) My Reports folders in iQIES on October 21, 2024. HHA’s that receive a letter of non-compliance may submit a request for reconsideration to CMS via email no later than 11:59 pm, November 27, 2024. 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 request emails greater than 20 MB in size or containing protected health information (PHI) will not be processed. All PHI must be removed in order for a reconsideration to be reviewed.

October 23, 2024

Care Compare Quarterly Refresh – October 2024

The October 2024 quarterly refresh for the Home Health Quality Reporting Program is now available on Care Compare. For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) and HH QRP claims-based measures have been updated. All OASIS and claims-based measures are now based on the standard number of quarters.

The October 2024 refresh will remove two claims-based measures from public reporting: 

  • Acute Care Hospitalization During the First 60 days of Home Health (ACH)
  • Emergency Department (ED) Use without Hospitalization During the First 60 Days of Home Health

The October 2024 refresh also contains an update to the Home Health Quality of Patient Care Star Ratings. The Home Health Within-Stay Potentially Preventable Hospitalization (PPH) measure will replace the ACH measure in the Quality of Patient Care Star Ratings calculations. For more information, see the download section of the HH QRP Star Ratings webpage 

October 15, 2024

NOW AVAILABLE: Screen Positive for Health-Related Social Needs Indicator Confidential Feedback Report for HH, IRF, and LTCH with Educational Webinar and Fact Sheet

On October 15, 2024, the Centers for Medicare & Medicaid Services (CMS) released the new Screen Positive for Health-Related Social Needs (HRSN) Indicator Confidential Feedback Report to Home Health (HH), Inpatient Rehabilitation Facility (IRF), and Long-Term Care Hospital (LTCH).This report presents summary information for your patient population on four HRSN data elements: Health Literacy, Need for Interpreter Services, Social Isolation, and Transportation. Results for this initial report are calculated using data from October 1, 2023 – September 30, 2024, and will be updated quarterly based on the most recent 12 months of available data. This report is provider-generated in the Internet Quality Improvement & Evaluation System (iQIES). 

To support providers in accessing and understanding this new report, CMS has released an educational webinar recording and the related webinar slides and transcript.  We also released a fact sheet that provides an overview of the Screen Positive for HRSN Indicator Confidential Feedback Report. For information on how to generate your report and to access the webinar recording video and related slides, transcript, and fact sheet, please go to the following Post-Acute Care Quality Reporting Program Training & Education pages: 

1 CMS plans to release this report to Skilled Nursing Facility providers in October 2025, when a full Fiscal Year of data (October 1, 2024 – September 30, 2025) will become available for the first time.

October 15, 2024

NOW AVAILABLE- Updated Quarterly OASIS Q&As 

October 2024 CMS OASIS Quarterly 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 4, 2024

NOW AVAILABLE IN iQIES - Preview Reports and Star Rating Preview Reports for the January 2025 Refresh 

For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) measures have been updated.

In addition, three OASIS measures have been added to public reporting for the January 2025 refresh:

  • Transfer of Health Information to the Patient
  • Transfer of Health Information to the Provider
  • Discharge Function Score

The January 2025 refresh also includes the removal of one OASIS measure from public reporting:

  • Application of Percent of Long Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan that Addresses Function Process. 

For additional information, please see the HH Quality Reporting Training webpage and the Home Health Data Submission Deadlines webpage. 

September 4, 2024

UPDATED RESOURCE AVAILABLE: From Data Elements to Quality Measures Cross-Setting Web-Based Training

The Centers for Medicare & Medicaid Services (CMS) is offering an updated web-based training course that provides a high-level overview of how data elements are used to construct quality measures used across post-acute care settings.  

This resource can be accessed through the Home Health Quality Reporting Training page.

August 26, 2024

UPDATED RESOURCE AVAILABLE: Section GG Web-Based Training Series

The Centers for Medicare & Medicaid Services (CMS) is offering an updated series of web-based training courses that provide an overview of the assessment and Section GG guidance found in the OASIS E-1 to promote accurate coding of the post-acute care (PAC) cross-setting data elements.

This resource can be accessed through the Home Health Quality Reporting Training webpage.

July 24, 2024

NEW RESOURCE AVAILABLE: Patient Mood Interview (Patient Health Questionnaire PHQ-2 to 9©) Video Tutorial

The Centers for Medicare & Medicaid Services (CMS) is offering a video tutorial for completing D0150, Patient Mood Interview (PHQ-2 to 9) and D0160, Total Severity Score. Within the video, the PHQ-2 to 9 assessment and related coding is demonstrated using excerpts from two patient interviews.

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

July 19, 2024

NEW RESOURCE AVAILABLE: What You Need to Know: PAC QRP Key Program Updates – FY/CY 2025 Web-Based Training

The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training course that provides an overview of key updates to the Home Health (HH) Quality Reporting Program (QRP) for Calendar Year (CY) 2025.  

This resource can be accessed through the Home Health Quality Reporting Training page.

July 8, 2024

The Centers for Medicare & Medicaid Services (CMS) has released the Standing Technical Expert Panel (TEP) for the Development, Evaluation, and Maintenance of Post-Acute Care (PAC) and Hospice Quality Reporting Program (QRP) Measurement Sets Summary Report.  This report summarizes input provided by a TEP on December 15, 2023, on the development of additional cross-setting measures for the PAC and Hospice QRPs, and filling measurement gaps with CMS’ Universal Foundation measures.  This cross-setting TEP is a standing TEP that will reconvene annually, or on an as-needed basis, to support the evaluation, development, and maintenance of the PAC and Hospice QRP measurement sets until 2028.

This report can be found in the Downloads section of the Home Health Quality Measures webpage.

June 27, 2024

Posting of the Calendar Year (CY) 2025 Home Health Prospective Payment System Proposed Rule

The calendar year 2025 Home Health Prospective Payment System Notice of Proposed Rulemaking was published on June 26, 2024. The following are the Home Health Quality Reporting Program proposals that have been outlined: CMS is proposing to collect four new items as standardized patient assessment data elements in the SDOH category and modify one item collected as a standardized patient assessment data element in the SDOH category beginning with the CY 2027 HH QRP. The four assessment items proposed for collection are:  one Living Situation item, two Food items, and one Utilities item. CMS also proposes modifying the current Transportation item beginning with the CY 2027 HH QRP. Additionally, we are proposing an update to the removal of the suspension of OASIS all-payer data collection to change all-payer data collection to begin with the start of care OASIS data collection timepoint instead of discharge timepoint. CMS also seeks input on future HH QRP measure concepts.

Finally, for the expanded Home Health Value-Based Purchasing (HHVBP) Model, CMS is including a request for information that would build on input from the Model’s Implementation and technical expert panel (TEP), which met in November 2023. 

Comments can be submitted electronically through https://www.regulations.gov. The comment period is open for 60 days after the Proposed Rule is published.

May 17, 2024

Updated Quick Reference Guide Available

An updated Quick Reference Guide is now available in the Downloads section of the  Home Health Quality Reporting Requirements webpage. The Quick Reference Guide provides high-level information on the Home Health Quality Reporting Program, including frequently asked questions and helpful links.

May 3, 2024

The draft Guidance Manual for the Outcome and Assessment Information Set  version E1 (OASIS-E1) of the OASIS data set, effective January 1, 2025, is available in the Downloads section of the OASIS User Manuals | CMS webpage. The draft OASIS-E1 Instruments (All Items and Time Points versions) are available in a zip file in the Downloads section of the OASIS Data Sets | CMS webpage.

April 24, 2024

Care Compare Quarterly Refresh – April 2024

The April 2024 quarterly refresh for the Home Health Quality Reporting Program is now available on Care Compare. For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) will be based on the standard number of quarters. 

For additional information on the COVID-19 public health emergency’s impact on public reporting, please see the HH QRP COVID-19 Public Reporting Tip Sheet in the downloads section of the HH Quality Reporting Training webpage and the FY 2022 Hospice Wage Index and Payment Update Final Rule (HH Rider).

April 16, 2024

NOW AVAILABLE- Updated Quarterly OASIS Q&As 

The April 2023 CMS OASIS Quarterly Q&A’s are available in the OASIS Quarterly Q&As section of the CMS QTSO webpage.

April 3, 2024

NOW AVAILABLE IN iQIES - Preview Reports and Star Rating Preview Reports for the July 2024 Refresh 

For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) measures have been updated.

For additional information, please see the HH Quality Reporting Training webpage and the Home Health Data Submission Deadlines webpage.

April 2, 2024

OASIS Vendor Call – April 30, 2024

CMS will host an Outcome and Assessment Information Set (OASIS) technical informational call for Software Vendors and Developers on Tuesday, April 30, 2024.

Call-in information is:

Date:  Tuesday, April 30, 2024

Time:  1:00 to 2:00 p.m. (ET)

Zoom: 1-833-568-8864 

Meeting ID: 161 Meeting ID: 161 428 3061

This vendor call will cover topics such as:

-OASIS-E1 Guidance Manual changes 

-OASIS-E1 Data Specifications (V3.01.0) effective January 1, 2025

-System and Validation Utility Tool (VUT) updates

-Submitted Questions & Answers

The OASIS Data Specifications V3.01.0 effective January 1, 2025 are posted on the CMS web site at: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HomeHealthQualityInits/DataSpecifications

In addition, please provide a response to the following question: “Do you need CMS to post OASIS Data Submission Specifications in the Microsoft Access Database format?"

Vendors may submit their response and questions to the iQIES@cms.hhs.gov. Please include "HHA VENDOR CALL" in the subject line. Questions must be e-mailed prior to 6:00 pm ET on Tuesday, April 23, 2024. 

*****   CMS strongly recommends that all HHA vendors attend this call.  *****

January 18, 2024

NOW AVAILABLE- Guide to Home Health Help Desks

The updated Guide to Home Health Help Desks is available in the Downloads section of the Home Health Quality Reporting Program Help Desks webpage:

https://www.cms.gov/medicare/quality/home-health/home-health-quality-reporting-program-help-desks

January 16, 2024

NOW AVAILABLE- Updated Quarterly OASIS Q&As

January 2024 Centers for Medicare & Medicaid Services (CMS) Outcome and Assessment Information Set (OASIS) Quarterly Q&A’s are available in the OASIS Quarterly Q&As section of the CMS  webpage, https://qtso.cms.gov/providers/home-health-agency-hha-providers/reference-manuals.

January 10, 2024

NOW AVAILABLE IN iQIES - Preview Reports and Star Rating Preview Reports for the April 2024 Refresh

For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) measures have been updated.

For additional information, please see the HH Quality Reporting Training webpage and the Home Health Data Submission Deadlines webpage.

January 2, 2023

NOW AVAILABLE- Draft OASIS-E1 All Items Instrument

The draft Outcome and Assessment Information Set version E1 (OASIS-E1) All Items instrument, scheduled for an effective date of January 1, 2025, is available in the Downloads section on the OASIS Data Sets webpage. The accompanying OASIS-E1 Manual will be released at a later date.

December 13, 2023

NEW RESOURCE AVAILABLE: Confusion Assessment Method (CAM©) Video Tutorial

The Centers for Medicare & Medicaid Services (CMS) is offering a video tutorial for the assessment of C1310. Signs and Symptoms of Delirium taken from the Confusion Assessment Method (CAM©) which is now collected on the Outcome and Assessment Information Set (OASIS)-E. This training asset demonstrates a cognitive assessment used to code the items within C1310. 

This resource can be accessed through the Home Health Quality Reporting Program (QRP) Training webpage.

November 7, 2023

NOW AVAILABLE- Updated OASIS-E Manual and updated CMS OASIS Q&As

The 2024 Update to the Outcome and Assessment Information Set Version E O(ASIS-E) Manual, and the associated Change Table, are available in the Downloads section on the OASIS Users Manuals webpage. There are no changes to the OASIS-E instrument.

Updated Static Q&As effective 10/2023 are available in the OASIS-E Q&As section of the CMS QTSO webpage.

The changes incorporate guidance into the manual and Q&As from the CMS Quarterly Q&As dated July 2022 through October 2023. 

September 26, 2023

NEW RESOURCE AVAILABLE: BIMS and BIMS Summary Score Explainer Video

A brief explainer video, BIMS and BIMS Summary Score: Stopping and Coding an Incomplete Interview is now available for HH Providers. This resource can be accessed through the Home Health Quality Reporting Training webpage.

September 22, 2023

NEW RESOURCE AVAILABLE: Understanding Coding for N0415 Explainer Video

A brief explainer video, Understanding Coding for N0415. High-Risk Drug Classes: Use and Indication is now available for HH Providers. This resource can be accessed through the Home Health Quality Reporting Training webpage.

August 8, 2023

NEW RESOURCE AVAILABLE: Social Determinants of Health Items Explainer Video

A brief explainer video, Social Determinants of Health Items: Determining When a Proxy Response is Allowed is now available for HH Providers. This resource can be accessed through the Home Health Quality Reporting Training webpage.

July 14, 2023

NEW RESOURCE AVAILABLE: BIMS Video Tutorial

The Centers for Medicare and Medicaid (CMS) is offering a new video tutorial for the Brief Interview for Mental Status (BIMS) which is now collected on the Outcome and Assessment Information Set (OASIS)-E. This training asset demonstrates the BIMS interview and associated coding.

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

Home Health Quality Reporting Archives

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04/30/2025 09:19 AM