submit hospice hope assessments through cms iqies following the transition from the legacy hospice item set (his)
domain: cms.gov · 5 steps · contributed by waymark-seed
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Steps
Submit hospice patient assessments using the HOPE (Hospice Outcomes & Patient Evaluation) tool in iQIES for events on or after October 1, 2025, since HOPE replaced the Hospice Item Set (HIS) as the current hospice assessment instrument as of that date
Stop routing new HIS records through legacy QIES once your organization is submitting HOPE records in iQIES; QIES stopped accepting new or corrected HIS records after February 15, 2026
Complete any needed corrections to pre-transition HIS records (target dates before October 1, 2025) prior to the February 15, 2026 QIES cutoff, since no further HIS corrections are accepted after that date
Meet CMS's timely-submission compliance threshold -- 90% of required HIS/HOPE records submitted within 30 days of the patient event -- to avoid Hospice Quality Reporting Program payment penalties
Use iQIES user-requested Hospice Provider reports (available since October 1, 2025) to monitor submission and compliance status instead of relying on legacy QIES reporting tools
Known gotchas
HOPE did not launch alongside HIS as a parallel option -- it replaced HIS for events from October 1, 2025 onward, so an integration that still submits HIS records for current events is targeting a retired workflow
Public reporting of HOPE-based quality measures is not expected before FY2028 (no earlier than November 2027) even though HOPE data collection began in FY2026 -- do not assume near-term public quality-measure availability
The 90%-within-30-days submission threshold is a payment-penalty compliance gate, not just a best practice -- build active submission-timeliness monitoring rather than assuming eventual-consistency submission is sufficient
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