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How to Register for the CAHPS for MIPS Survey

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CAHPS for MIPS Survey

The

Consumer Assessment of Healthcare Providers and Systems
(CAHPS) for Merit-based Incentive Payment System (MIPS) Survey evaluates patients' experiences of care within a group, subgroup, virtual group, or Alternative Payment Model (APM) Entity, including Medicare Shared Savings Program (Shared Savings Program) Accountable Care Organizations (ACOs).

  • APM Performance Pathway (APP): Groups and APM Entities (excluding Shared Savings Program ACOs) that choose to meet the reporting requirements under the APP must register because the CAHPS for MIPS Survey is a required measure under the APP.
  • Traditional MIPS: The CAHPS for MIPS Survey is an optional measure available to groups, virtual groups, and APM Entities with 2 or more eligible clinicians reporting traditional MIPS. The CAHPS for MIPS Survey can be reported as 1 of the 6 required quality measures in traditional MIPS. It also fulfills part of the requirement for the ‘Regularly Assess Patient Experience of Care and Follow Up on Findings’ improvement activity (IA_BE_6).
  • MIPS Value Pathways (MVPs): The CAHPS for MIPS Survey is an optional measure available to groups, subgroups*, and APM Entities with 2 or more eligible clinicians that are registered to report certain MVPs. If the CAHPS for MIPS Survey is available within your selected MVP, it can be reported as 1 of the 4 required quality measures.

Advance registration is required for any group, virtual group, subgroup*, and APM Entity (except Shared Savings Program ACOs) that intends to administer the CAHPS for MIPS Survey.

* Subgroups can only administer the CAHPS for MIPS Survey as part of MVP reporting. If a subgroup is interested in administering the CAHPS for MIPS Survey as 1 of their 4 required quality measures for MVP reporting, they’ll need to complete their MVP registration prior to registering for the CAHPS for MIPS Survey.

For more information about MVP registration, please review the Learn about MVP Registration webpage.

Shared Savings Program ACOs

Because Shared Savings Program ACOs are required to meet the reporting requirements under the APP, including the administration of the CAHPS for MIPS Survey, they're automatically registered for the CAHPS for MIPS Survey. Shared Savings Program ACOs don’t need to register in advance. However, they'll still need to contract with a CMS-approved survey vendor to administer the CAHPS for MIPS Survey. 

Groups that participate in a Shared Savings Program ACO may register for the CAHPS for MIPS Survey if they intend to administer the survey as a group (separate from participation in a Shared Savings Program ACO). The group’s administration of the CAHPS for MIPS Survey would be separate from the Shared Savings Program ACO’s administration of the CAHPS for MIPS Survey that is required under the APP.

How Do I Register for the CAHPS for MIPS Survey?

If your group, subgroup, virtual group, or APM Entity (excluding Shared Savings Program ACOs) would like to administer the CAHPS for MIPS Survey for the 2024 performance period, you must register between April 1 and July 1, 2024. Registration closes at 8 p.m. ET on July 1, 2024.

To register for the CAHPS for MIPS Survey:

  • Sign in to QPP
  • Go to the Registration page. 
  • Click “Start Registration.”
  • Click “Register and Edit CAHPS Registration.”
  • If you have multiple organizations on your account, select the organization you wish to register and click “Register Group for CAHPS.”

To register, you'll need to have the Security Official role for your organization. Please refer to the QPP Access User Guide (ZIP, 3MB) for more information.

Registered groups, subgroups, virtual groups, and APM Entities that elect to administer the CAHPS for MIPS Survey will need to contract with a CMS-approved survey vendor to administer the survey. If you don’t plan to administer the CAHPS for MIPS Survey for the 2024 performance period, we encourage you to cancel your registration by July 1, 2024.

Updated

NEW: Beginning in the 2024 performance period, registered groups, virtual groups, subgroups, and APM Entities (including Shared Savings Program ACOs) are required to contract with a CAHPS for MIPS Survey vendor to administer the survey in English and Spanish, using the Spanish translation provided by CMS. 

We also recommend that groups, virtual groups, subgroups, and APM Entities (including Shared Savings Program ACOs) administer the other translations of the CAHPS for MIPS Survey provided by CMS (Cantonese, Korean, Mandarin, Portuguese, Russian, and Vietnamese) based on the language needs of their patients. 

Note: Groups, subgroups, virtual groups, and APM Entities (including Shared Savings Program ACOs) will receive instructions from CMS on how to authorize a CMS-approved vendor after the registration period closes. CMS will produce your patient sample and send it to the vendor you authorize. Once you authorize a survey vendor, we’ll proceed with data collection, and you’ll be accountable for the costs associated with administering the survey.

Can I Cancel Our CAHPS for MIPS Survey Registration?

Yes, if you don’t intend to administer the CAHPS for MIPS Survey, please cancel your registration by 8 p.m. ET on July 1, 2024. 

To cancel your registration for the 2024 performance period:

  • Sign in to QPP
  • Go to the Registration page. 
  • Click “Delete Registration” for the registration you wish to delete.
  • Click “Delete” to confirm your decision and successfully delete your registration.

To cancel your registration, you’ll need to have the Security Official role for your organization. Please refer to the QPP Access User Guide (ZIP, 3MB) for more information.

MVPs: Once you’ve formally authorized a survey vendor, we’ll proceed with data collection and you’ll be accountable for vendor costs, even if you update or cancel your MVP registration after July 1, 2024.