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Long-Term Care Hospital (LTCH) Quality Reporting (QRP)


What is the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)?

The purpose of this page is to provide users with important announcements and updates regarding the LTCH QRP. This page is updated periodically whenever an important update needs to be communicated to LTCH providers regarding the LTCH QRP. Please refer to this page when seeking information on upcoming trainings, approaching data submission deadlines, updates to training materials or measures, reminders, and other useful communications.

The LTCH QRP, mandated by Section 3004(a) of the Patient Protection and Affordable Care Act of 2010, creates LTCH quality reporting requirements. Every year, by October 1, we publish the quality measures LTCHs must report. Section 3004(a) of the Affordable Care Act (ACA) amends section 1886(m)(5) of the Social Security Act(SSA) to direct the Secretary to establish quality reporting requirements for long-term care hospitals (LTCHs).

The Improving Medicare Post-Acute Care Transformation Act of 2014 (the IMPACT Act), LTCHs also requires LTCHs to submit standardized patient assessment data with regard to quality measures, resource use, and other measures. It further specifies that the data [elements] “… be standardized and interoperable so as to allow for the exchange of such data among such post-acute care providers and other providers and the use by such providers of such data that has been so exchanged, including by using common standards and definitions in order to provide access to longitudinal information for such providers to facilitate coordinated care and improved Medicare beneficiary outcomes  …”.

Learn more about Affordable Care Act (ACA) Section 3004 (Quality Reporting for Long-Term Care Hospitals (LTCH), Inpatient Rehabilitation Facilities (IRF), and Hospice Programs). Please note the link below for P.L. Public Law No: 111-148, the Patient Protection and Affordable Care Act (H.R.3590 Health Care Law).

Learn more about the Improving Medicare Post-acute Care Transformation (IMPACT) Act of 2014 which requires the submission of standardized data by Long-Term Care Hospitals (LTCHs), Skilled Nursing Facilities (SNFs), Home Health Agencies (HHAs) and Inpatient Rehabilitation Facilities (IRFs).

What happens if quality data isn’t reported?

For fiscal year 2014, and each year forward, if LTCHs fail to submit the required quality data, the result shall be a two (2) percentage point reduction in your annual payment update.

CMS strongly encourages all LTCHs to submit quality measure data several days prior to the deadline to provide an opportunity to review data submissions for completeness and accuracy, and address any submission issues.

Who can see the reported data?

CMS must make quality data available to the public. However, before the data is made public, LTCH providers will have the opportunity to review it.  

LTCH Quality Reporting Help

Providers may email the LTCH Quality Questions Help Desk if they have general questions about the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) including but not limited to general questions about reporting requirements, quality measures, and reporting deadlines.

For questions related to technical issues:

For questions about LTCH CARE Data Set submissions or status of data submissions via CASPER reports, call 1-800-339-9313 or

For questions about quality measure calculation, data submission deadlines, or data items contained within the LTCH CARE Data Set, email

For LTCH Quality Reporting Program feedback, comments, and questions:

For questions about LTCH quality data submitted to CMS via CDC’s NHSN, or NHSN Registration, email

For questions about the CDC’s National Healthcare Safety Network (NHSN):

For the Quality Improvement and Evaluation Systems (QIES) Technical Support Office:


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