From the Centers for Medicare and Medicaid

To review entire Quality Reporting Notification, please click here.

The Centers for Medicare & Medicaid Services (CMS) is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to acute care hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, Renal Dialysis Facilities, long-term care hospitals, and ambulatory surgical centers located in areas affected by Hurricane Harvey due to the devastating impact of the storm. These providers will be granted exceptions without having to submit an extraordinary circumstances exception request if they are located in one of the Texas counties or Louisiana parishes 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 is described below; however, all of the exceptions are being granted to assist these providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.

The affected counties and parishes designated by FEMA as of the August 31st, 2017, are as follows:

Texas Counties Louisiana Parishes
  • Aransas
  • Bee
  • Bexar
  • Brazoria
  • Calhoun
  • Chambers
  • Colorado
  • Dallas
  • Fayette
  • Fort Bend
  • Galveston
  • Goliad
  • Hardin
  • Harris
  • Jackson
  • Jasper
  • Kleberg
  • Liberty
  • Matagorda
  • Montgomery
  • Newton
  • Nueces
  • Orange
  • Refugio
  • Sabine
  • San Jacinto
  • San Patricio
  • Tarrant
  • Travis
  • Victoria
  • Waller
  • Wharton
  • Beauregard
  • Calcasieu
  • Cameron
  • Jefferson Davis
  • Vermilion

The following providers located outside of the counties and 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 using the applicable extraordinary circumstances exception procedure: acute care hospitals, Prospective Payment System (PPS)-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, Renal Dialysis Facilities, and ambulatory surgical centers. If FEMA expands the current disaster declaration for Hurricane Harvey to include additional counties or parishes, CMS will update this communication to expand the list of providers eligible to receive an exception without submitting a request to include the hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, and ambulatory surgical centers located in the additional counties and parishes. In addition, CMS will continue to monitor the situation and adjust exempted reporting periods and submission deadlines accordingly.

Hospices
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 2017 quarters 2 and 3:

  • Hospices – Hospice QRP

CMS will provide additional information about the extension and exceptions related to the PAC QRP submission requirements in subsequent announcements. For further information about extensions and exemptions, view the program-specific webpages: Hospice Quality Reporting Extensions and Exemption Requests.

Hospitals
CMS is granting an exception to subsection (d) hospitals located in designated counties and parishes for the following reporting requirements under the Hospital Inpatient Quality Reporting (IQR) Program.

For the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey:

October 2017 and January 2018 HCAHPS submission deadlines for discharge periods:

  • April 1, 2017 – June 30, 2017 (2nd Quarter 2017)
  • July 1, 2017 – September 30, 2017 (3rd Quarter 2017)

The National Support Team for the IQR Program is available to answer questions or supply any additional information you may need. Please contact the team at InpatientSupport@viqrc1.hcqis.org or call toll-free at 844.472.4477.

Home Health Agencies
You can find further information about extensions and exemptions for affected home health agencies at this website: Home Health Quality Reporting Requirements. Information on all of these pages will be updated to include information relevant for organizations affected by Hurricane Irma.

Please contact the HHCAHPS Survey Coordination Team with questions via email at hhcahps@rti.org or call toll-free at (866) 354-0985.

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