Modification to the Home Health Care CAHPS Survey Participation Exemption Request Form for the CY2015 APU
folder_openInformation for Home Health Agenciescalendar_todayPosted September 17, 2013

The purpose of this announcement is to alert home health agencies (HHAs) eligible for an exemption from participating in the HHCAHPS Survey that a modification has been made to the Participation Exemption Request Form (PER) for the CY2015 APU. The eligibility requirements have not changed. The revised form simply asks for more information about one of the pieces of information already being provided by HHAs completing this form.

The revised form includes a field for HHAs to provide more information about any patients that it is designating ineligible for participation in HHCAHPS because of state laws/restrictions that prohibit the release of information for patients with certain illnesses or conditions. HHAs are now asked to provide the specific state law or regulation that prohibits the release of patient information and the number of affected patients.

The revised form is available at the HHCAHPS Web site at the following link:

https://homehealthcahps.org/ForHHAs/ParticipationExemptionRequestForm.aspx

HHAs are reminded that they must complete a new PER annually if they remain eligible. HHAs that have already submitted a PER for the CY2015 APU do not need to complete this revised form.

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