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Home Health Quality Reporting Update: HH QRP User’s Manual and iQIES

Monday, August 19, 2019   (0 Comments)
Posted by: Kyle Simon

Courtesy of the National Association for Home Care & Hospice (NAHC)

The Centers for Medicare & Medicaid Services (CMS) released the first version of the of the HH Quality Reporting Program (HH QRP) Measures Calculations and Reporting User’s Manual. This manual presents the methods used to calculate the quality measures (QMs) that are included in the HH QRP and reported on the Home Health Compare website. It comprises detailed information for each QM, including definitions, inclusion and exclusion criteria, and QM calculation specifications. A complete version of the HH QRP QM User’s Manual may be found here.

CMS is updating the Quality Improvement and Evaluation System (QIES), which providers and vendors use to submit assessment data, to iQIES (Internet Quality Improvement and Evaluation System) to make the system more reliable, scalable, secure, and accessible. The enhancement will occur in phases by provider type with home health agencies transitioning to the new system in January 2020. Onboarding for iQIES, however, has begun. Below is the onboarding schedule.

The initial rollout of iQIES will not change how providers or vendors submit data. However, iQIES will require a new user management system because virtual private network (VPN) and CMSNet are no longer needed to access this system. All users will have to create an account and establish credentials in the Healthcare Quality Information System (HCQIS) Access, Roles and Profile system (HARP). HARP is a secure identity management portal provided by CMS.

Through HARP, the level of access for iQIES will be similar to the roles that exist in QIES but with the addition of a Provider Security Official (PSO). The individual designated as the PSO will be responsible for approving or rejecting iQIES user access requests for their respective organizations, including vendors.

For your organization to receive access to iQIES, your organization must first complete the steps below according to the following schedule:

Identify an individual who will be the Provider Security Official (PSO).

  1. Register the PSO in the Healthcare Quality Information System (HCQIS) Access Roles and Profile (HARP) system at
  2. After your MFA (Multi-Factor Authentication) is complete, choose the iQIES application presented to you to request your Security Official role. Alternatively, you can access iQIES at the following URL: to complete your role request.
    Please note that at this time, only certified agencies will be onboarded to iQIES. For questions, please contact our service desk at or by phone at (800) 339-9313 with any questions.

Although onboarding for home health agencies will begin in August, iQIES assessment submission functionality for agencies will not be available until January 1, 2020. Although this functionality will not be available immediately, we encourage home health agencies security officials to request access to iQIES as soon as onboarding for your organization’s state has begun. CMS advises that home health agencies register two security officials, if possible, as doing so will allow for a smoother transition prior to the January go live date. Upon receiving access, security officials will have access to ‘My Profile’ and ‘Help’ in iQIES.

To comply with federal security mandates, CMS is initiating new security requirements for access control to CMS Quality Systems through Remote Identify Proofing (RIDP) via HARP. Users will need to create an account in HARP to gain access to the iQIES system. CMS has prepared a fact sheet with more information about this process. To view the fact sheet, visit

Frequently asked questions related to HARP can be accessed using the following link:

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