Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) Spotlights & Announcements
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Updates
September 25, 2024
Care Compare September Refresh of LTCH QRP Data – Now Available
The September 2024 refresh of the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC).
For more information, please visit the LTCH QRP Public Reporting website.
September 16, 2024
LTCH Provider Preview Reports – Now Available
The Long-Term Care Hospital (LTCH) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the December 2024 refresh.
For more information, please visit the CMS LTCH QRP Public Reporting website.
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 LTCH QRP Training page.
September 3, 2024
CMS LCDS Quarterly Q&As, September 2024, Consolidated September 2020 to September 2024
The Centers for Medicare & Medicaid Services (CMS) is publishing the Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) Quarterly Q&As, in September of 2024. The document contains the consolidated Q&As from September 2020 to September 2024 so that all LTCH providers have the benefit of clarifications to existing guidance. Through inquiries to the LTCH Post-Acute Care (PAC) Quality Reporting Program (QRP) Help Desk, CMS identifies the opportunity to clarify or refine guidance.
The Quarterly Q&A document can be accessed via the Downloads section of the LTCH CARE Data Set and LCDS Manual webpage.
September 3, 2024
LTCH QRP FAQs for FY 2025
An update to the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) Frequently Asked Questions (FAQs) document is now available. This document has been updated to reflect the finalized policies for the LTCH QRP in Fiscal Year (FY) 2025 and includes other useful resources available to providers.
The FAQ document can be accessed via the Downloads section of the LTCH Quality Reporting FAQs webpage.
September 3, 2024
LTCH QRP Data Elements Used for Reporting Assessment-Based QMs and Standardized Patient Assessment Data Elements Affecting FY 2027 APU Determination and Data Collection and Final Submission Deadlines for FY 2027 posted
The Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) Overview of Data Elements Used for Reporting Assessment-Based Quality Measures and Standardized Patient Assessment Data Elements Affecting Fiscal Year (FY) 2027 Annual Payment Update (APU) Determination table and the LTCH QRP Data Collection and Final Submission Deadlines for the FY 2027 LTCH QRP are now available.
The FY 2027 LTCH QRP APU Table can be accessed via the Downloads section of the LTCH QRP Measures Information webpage. The FY 2027 LTCH QRP Data Collection and Final Submission Deadlines can be accessed via the Downloads section of the LTCH QRP Data Submission Deadlines webpage.
August 30, 2024
LTCH QRP Quality Measure Calculations and Reporting User’s Manual V6.0, Change Table, Risk Adjustment Appendix File, and Imputation Appendix File – Now Available
The Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) Quality Measure Calculations and Reporting User’s Manual Version 6.0 and accompanying documents are now available. These documents serve as an update to the specifications used to calculate quality measures that are included in the LTCH QRP effective October 1, 2024.
These files can be found in the Downloads section of the CMS LTCH QRP Quality Reporting Measures Information webpage.
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 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) Manual Version 5.1 to promote accurate coding of the post-acute care (PAC) cross-setting data elements.
This resource can be accessed through the LTCH QRP Training page.
August 26, 2024
LCDS Version 5.2 Item Sets posted
The Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (Care) Data Set (LCDS) Version 5.2 item sets are now available.
The LCDS 5.2 Item Sets can be accessed via the Downloads section of the Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) and LCDS Manual webpage.
August 14, 2024
NOW AVAILABLE: CMS National Summary Report, Executive Summary, and National Summary Results workbook for the 2023 Post-Acute Care Health Equity Confidential Feedback Reports
In October 2023, the Centers for Medicare & Medicaid Services (CMS) released two Health Equity Confidential Feedback Reports to post-acute care (PAC) providers: the Discharge to Community (DTC) Health Equity Confidential Feedback Report and the Medicare Spending Per Beneficiary (MSPB) Health Equity Confidential Feedback Report.
To help expand access to aggregate stratified results, the National Summary Report provides insights on aggregate (e.g., national-level) differences in quality by dual-enrollment status and race/ethnicity in the PAC settings. This report can be used as a reference by PAC providers who received the 2023 Health Equity Confidential Feedback Reports. In addition, this report can help other stakeholders understand aggregate variations in the stratified DTC and MSPB measure outcomes. The Executive Summary of the National Summary Report serves as a quick summary of the main findings from the National Summary Report. The National Summary Results workbook includes the full set of results that were included in the National Summary Report.
The National Summary Report, Executive Summary, and National Summary Results workbook can be found in the Downloads section of the PAC QRP Training webpage for HH, IRF, LTCH, and SNF.
August 1, 2024
Reminder of Upcoming Data Submission Deadline
The submission deadline for the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) is approaching. LTCH Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) assessment data and data submitted via the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) for January 1 – March 31 (Q1) of calendar year (CY) 2024 are due with this submission deadline.
All data must be submitted no later than 11:59 p.m. on August 15, 2024.
It is recommended that the applicable Centers for Medicare & Medicaid Services (CMS) Internet Quality Improvement and Evaluation System (iQIES) reports and NHSN analysis reports are run prior to each quarterly reporting deadline to ensure that all required data were submitted. We encourage you to verify all facility information prior to submission, including CMS Certification Number (CCN) and facility name.
View the list of measures required for this deadline on the LTCH Quality Reporting Data Submission Deadlines webpage.
For submission information, visit:
Swingtech sends informational messages to LTCHs that are not meeting Annual Payment Update (APU) threshold on a quarterly basis ahead of each submission deadline. If you need to add or change the email addresses to which these messages are sent, please email QRPHelp@swingtech.com and be sure to include your facility name and CCN along with any requested email updates.
August 1, 2024
IPPS/LTCH PPS for FY 2025; and Updates to the LTCH QRP (CMS-1808-F)
On August 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1808-F) that finalizes updates to the fiscal year (FY) 2028 Long-Term Care Hospital Quality Reporting Program (LTCH QRP) including requiring LTCH’s to collect and submit through the LTCH Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) four new assessment items in the Social Determinants of Health (SDOH) category: one item for Living Situation, two items for Food, and one item for Utilities. CMS is also modifying the current Transportation item and extending the three day assessment window to a four day assessment window. Finally, CMS is summarizing the feedback received on two Requests for Information (RFIs) on quality measure concepts under consideration for future LTCH QRP years and a star rating system for publicly reporting LTCH QRP measures on Care Compare.
The final rule went on display at the Federal Register and will be available at: https://www.federalregister.gov/public-inspection
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 Long-Term Care Hospital (LTCH) 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 Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) for Fiscal Year (FY) 2025.
This resource can be accessed through the LTCH QRP Training page.
July 3, 2024
LTCH Quality Reporting Program: Non-Compliance Notifications
The Centers for Medicare & Medicaid Services (CMS) is providing notifications to Long-Term Care Hospitals (LTCHs) that were determined to be out of compliance with LTCH Quality Reporting Program (QRP) requirements for calendar year (CY) 2023, which will affect their fiscal year (FY) 2025 Annual Payment Update (APU). Non-compliance notifications will be distributed by the Medicare Administrative Contractors (MACs) and will be placed into facilities’ My Reports folders in the Internet Quality Improvement Evaluation System (iQIES) on July 03, 2024. Facilities that receive a letter of non-compliance may submit a request for reconsideration to CMS via email no later than 11:59 pm,August 14, 2024. If you receive a notice of non-compliance and would like to request a reconsideration, see the instructions in your notification letter and on the LTCH Quality Reporting Reconsideration and Exception & Extension webpage.
Please note: Any reconsideration containing protected health information (PHI) will not be processed. All PHI must be removed in order for a reconsideration to be reviewed.
June 26, 2024
Care Compare June Refresh of LTCH QRP Data – Now Available
The June 2024 refresh of the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC).
For more information, please visit the LTCH QRP Public Reporting website.
June 18, 2024
CMS LCDS Quarterly Q&As, June 2024, Consolidated September 2020 to June 2024
The Centers for Medicare & Medicaid Services (CMS) is publishing the Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) Quarterly Q&As, in June of 2024. The document contains the consolidated Q&As from September 2020 to June 2024 so that all LTCH providers have the benefit of clarifications to existing guidance. Through inquiries to the LTCH Post-Acute Care (PAC) Quality Reporting Program (QRP) Help Desk, CMS identifies the opportunity to clarify or refine guidance.
The Quarterly Q&A document can be accessed via the Downloads section of the LTCH CARE Data Set and LCDS Manual webpage.
June 14, 2024
Revised LTCH QRP QM User’s Manual V5.0 Appendices – Now Available
Through our quality assurance processes, CMS identified a minor calculation issue in the Risk Adjustment Appendix File and Imputation Appendix File published with the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) Quality Measure Calculations and Reporting User’s Manual Version 5.0, specifically affecting the imputation coefficients for admission GG items and the risk adjustment coefficients for the LTCH Discharge Function Score measure. The updated Risk Adjustment Appendix File and Imputation Appendix File now contain corrected coefficient values. This issue will not affect the LTCH Provider Preview Reports or the upcoming public reporting of the LTCH Discharge Function Score measure.
These files can be accessed in the Downloads section of the CMS LTCH QRP Quality Reporting Measures Information webpage.
June 14, 2024
LTCH Provider Preview Reports – Now Available
The Long-Term Care Hospital (LTCH) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the September 2024 refresh.
For more information, please visit the CMS LTCH QRP Public Reporting webpage.
May 17, 2024
Updated Quick Reference Guide Available
An updated Quick Reference Guide is now available in the Downloads section of the LTCH Quality Reporting Data Submission Deadlines webpage. The Quick Reference Guide provides high-level information on the Long Term Care Hospital (LTCH) Quality Reporting Program, including frequently asked questions and helpful links.
May 9, 2024
Reminder of Upcoming Data Submission Deadline
The submission deadline for the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) is approaching. LTCH Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) assessment data and data submitted via the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) for October 1 – December 31 (Q4) of calendar year (CY) 2023 are due with this submission deadline. The annual NHSN measure Influenza Vaccination among Healthcare Personnel is also due with this deadline.
All data must be submitted no later than 11:59 p.m. on May 15, 2024.
It is recommended that the applicable Centers for Medicare & Medicaid Services (CMS) Internet Quality Improvement and Evaluation System (iQIES) reports and NHSN analysis reports are run prior to each quarterly reporting deadline to ensure that all required data were submitted. We encourage you to verify all facility information prior to submission, including CMS Certification Number (CCN) and facility name.
View the list of measures required for this deadline on the LTCH Quality Reporting Data Submission Deadlines webpage.
For submission information, visit:
Swingtech sends informational messages to LTCHs that are not meeting Annual Payment Update (APU) threshold on a quarterly basis ahead of each submission deadline. If you need to add or change the email addresses to which these messages are sent, please email QRPHelp@swingtech.com and be sure to include your facility name and CCN along with any requested email updates.
April 10, 2024
IPPS/LTCH PPS for FY 2025; and Updates to the LTCH QRP (CMS-1808-P)
On April 10, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1808-P) that provides proposals for the fiscal year (FY) 2025 Long-Term Care Hospital Quality Reporting Program (LTCH QRP). This proposed rule includes four new assessment items in the Social Determinants of Health (SDOH) category: (1) Living Situation, (2) Food, and (3) Utilities. CMS is also proposing to modify the Transportation item and modify one the Administrative item to extend the three day assessment window to a four day assessment window. Finally, CMS is seeking feedback with two Requests for Information (RFIs) on quality measure concepts under consideration for future LTCH QRP years and a star rating system for publicly reporting LTCH QRP measures on Care Compare.
The proposed rule went on display at the Federal Register and will be available at: https://www.federalregister.gov/public-inspection
March 28, 2024
Care Compare March Refresh of LTCH QRP Data – Now Available
The March 2024 refresh of the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC).
For more information, please visit the LTCH QRP Public Reporting website.
March 20, 2024
CMS LCDS Quarterly Q&As, March 2024, Consolidated September 2020 to March 2024
The Centers for Medicare & Medicaid Services (CMS) is publishing the Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) Quarterly Q&As, in March of 2024. The document contains the consolidated Q&As from September 2020 to March 2024 so that all LTCH providers have the benefit of the clarifications to existing guidance. Through inquiries to the LTCH Post-Acute Care (PAC) Quality Reporting Program (QRP) Help Desk, CMS identifies the opportunity to clarify or refine guidance. While no new Q&As were added to the consolidated document for this release, CMS has archived some Q&As either because the guidance has been added to the LCDS 5.1 Manual, or the Q&As have been retired.
The Quarterly Q&A document can be accessed via the Downloads section of the LTCH CARE Data Set and LCDS Manual webpage.
March 15, 2024
LTCH Provider Preview Reports – Now Available
The Long-Term Care Hospital (LTCH) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the June 2024 refresh.
For more information, please visit the CMS LTCH QRP Public Reporting website.
February 14, 2024
SUMMARY REPORT PUBLISHED: LTCH QRP Listening Session: Administrative Burden of the LTCH QRP
CMS has published a summary report on the virtual LTCH QRP Listening Session that was held on October 17, 2023 by Acumen, LLC. This session was held to seek feedback from LTCH providers on potential improvements to the LTCH QRP, the LTCH Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS), advancements to interoperability, and opportunities to enhance provider education. The report presents a summary of the presentation for each discussion topic, stakeholder input for each of the discussion questions, and key findings. The discussion topics included an overview of the LTCH QRP and the maturation of the LCDS, the current state of interoperability in LTCHs, and existing and potential future methods of provider education from CMS. This report can be found on the LTCH QRP Measures Information page.
February 1, 2024
CMS LCDS Manual Version 5.1
The Centers for Medicare & Medicaid Services (CMS) is publishing the Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) Manual, Version 5.1, effective October 1, 2024. A Change Table outlining the revisions to the CMS LCDS Manual Version 5.1 is also published.
The Manual and Change Table can be accessed via the Downloads section of the LTCH CARE Data Set and LTCH QRP Manual webpage.
January 19, 2024
NOW AVAILABLE: CMS FAQ Document and Methodology Report for the Post-Acute Care Health Equity Confidential Feedback Reports
In October 2023, the Centers for Medicare & Medicaid Services (CMS) released two Health Equity Confidential Feedback Reports to post-acute care (PAC) providers: the Discharge to Community (DTC) Health Equity Confidential Feedback Report and the Medicare Spending Per Beneficiary (MSPB) Health Equity Confidential Feedback Report.
To answer frequently asked questions and to provide methodological information about these reports, CMS released the Frequently Asked Questions (FAQ) Document and the Methodology Report. The materials can be access through these links:
- CMS Health Equity Confidential Feedback Report Frequently Asked Questions (FAQ) Document (PDF)
- CMS Health Equity Confidential Feedback Report Methodology Report (PDF)
December 20, 2023
Care Compare December Refresh of LTCH QRP Data – Now Available
The December 2023 Refresh of the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC).
For more information, please visit the LTCH QRP Public Reporting website.