Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Help

Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Help

About this Page

The following contact information is intended to assist providers and vendors to ask questions, troubleshoot problems, and request guidance and support. The different Help Desks and their focus areas are listed below.

Important Notice about Sending Emails to CMS

Please note that the Centers for Medicare & Medicaid Services (CMS) QRP Help Desk email systems are not secured to receive protected health information or patient-level data with direct identifiers. Submitting patient-level data or protected health information may be a violation of your facilities’ policies and procedures as well as a violation of federal regulations (Health Insurance Portability and Accountability Act [HIPAA]). Do NOT submit patient-identifiable information (e.g., date of birth, social security number, and health insurance claim number) to these addresses. If you are unsure of whether the information you are submitting is identifiable, please contact your institutions’ Privacy Officer.

Help Desks Available for Provider Support for Skilled Nursing Facilities (SNFs) and Nursing Homes

1. For questions related to the SNF Quality Reporting Program (QRP) including:

  • SNF QRP requirements
  • Data submission timelines
  • SNF QRP claims-based and assessment-based quality measures
  • Minimum Data Set (MDS) 3.0 coding instructions for Part A Prospective Payment System (PPS) assessments
  • Data reported in the SNF QRP Quality Measure reports
  • Email: SNFQualityQuestions@cms.hhs.gov

2. For questions related to Public Reporting of SNF QRP quality data on Care Compare or Provider Data Catalog (PDC) including:

  • Questions related to SNF Provider Preview Reports
  • Requests for the CMS review of the data contained within the Provider Preview Report that a SNF may believe to be erroneous
  • SNF data available on Care Compare
  • Email: SNFQRPPRQuestions@cms.hhs.gov

3. For questions related to Care Compare including:

  • Care Compare program for nursing homes/SNFs
  • Five-Star Quality Rating System
  • Care Compare quality measures
  • Email: bettercare@cms.hhs.gov
  • Phone: 1-800-839-9290

4. For questions related to MDS 3.0 coding instructions, contact your State RAI coordinator:

  • For contact information, please refer to Appendix B: State Agency and CMS Regional Office RAI/MDS Contacts of the MDS 3.0 RAI manual available in the Downloads section of the MDS RAI Manual webpage.

5. For questions related to MDS Data Submission and Data Validation including:

  • Accessing the Internet Quality Improvement and Evaluation System (iQIES)
  • General issues related to iQIES
  • Accessing submission/validation reports
  • jRAVEN software
  • Email: iqies@cms.hhs.gov
  • Phone: 1-800-339-9313

 6. For questions about SNF quality data submitted to CMS via the Centers for Disease Control and Prevention’s (CDC’s) National Healthcare Safety Network (NHSN), or NHSN Registration:

7. For questions related to the SNF QRP Reconsideration Process including:

  • How to file a request if you receive a letter of non-compliance from CMS
  • Deadline for filing a Request for Reconsideration
  • How to dispute a finding of non-compliance with the QRP reporting requirements that can lead to a 2% payment reduction
  • Requesting information about the SNF QRP payment reduction for failure to report required quality data
  • Email: SNFQRPReconsiderations@cms.hhs.gov

8. For questions related to the SNF Prospective Payment System (PPS) policy:

9. For questions related to the SNF Value-Based Purchasing (VBP) Program including:

10. For questions related to the Patient Driven Payment Model (PDPM) Grouper:

11. For questions related to Staffing Data Submission Payroll-Based Journaling (PBJ) including:

  • PBJ policy information including PBJ Policy Manual and Frequently Asked Questions (FAQs)
  • Email: nhstaffing@cms.hhs.gov

12. For questions related to PBJ Data Specifications including Data Submission Specifications:

13. For questions related to the Survey Process:

14. For questions related to Nursing Home Regulations:

15. For help monitoring compliance with the SNF QRP data submission requirements:

  • CMS sends informational messages to SNFs that are NOT meeting Annual Payment Update (APU) thresholds on a quarterly basis ahead of each submission deadlines.
  • Email: QRPHelp@swingtech.com to receive this information.
  • Include your facility name and CMS Certification Number (CCN) with this request.

Listserv Available for Provider Support for SNFs and Nursing Homes

Subscribe to the Post-Acute Care (PAC) QRP listserv for the latest SNF quality reporting program information.

SNF Quality Reporting Program Archives

Page Last Modified:
09/10/2024 06:21 PM