Home Health Quality Reporting Program Update

Posted on Monday, February 22, 2021

HH CAHPS Survey Exemptions

It is the responsibility of all Medicare-certified HHAs to participate every month in the Home Health CAHPS Survey to obtain the full Annual Payment Update (APU) from the Centers for Medicare & Medicaid Services (CMS). There are only two scenarios under which a Medicare-certified HHA can be exempted from participation in the HHCAHPS Survey, otherwise they are subject to the 2% APU penalty.  The exemption scenarios are:

  • If a certified HHA served 59 or fewer survey-eligible unduplicated patients from April 1, 2019 – March 31, 2020
  • If an HHA received Medicare certification from CMS after April 1, 2020, that HHA is considered too new to participate in the upcoming APU. This is a one-time exemption only, and HHAs do not need to apply for it.

HHAs meeting the criteria for having served fewer than 59 survey-eligible unduplicated patients can submit a participation exemption request (PER) for the CY 2022 annual payment update.  Agencies must apply for the exemption annually. The PER form is due by March 31, 2021.

Source: NAHC


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