Summary of Updates on HIQR Collection Forms

FY 2026 Inpatient Prospective Payment System Rule: Summary of Updates on Hospital Quality Reporting Information Collection Forms
Form
Hospital Inpatient Quality Reporting Notice of
Participation
2. Hospital Quality Reporting Data Accuracy and
Completeness Acknowledgement (DACA)
3. Care Compare Request Form for
Withholding/Footnoting Data for Public
Reporting
4. CMS Quality Reporting Program APU
Reconsideration Request Form
5. CMS Hospital IQR Program Validation Review
for Reconsideration Request Form
6. Centers for Medicare & Medicaid Services
(CMS) Quality Program Extraordinary
Circumstances Exceptions (ECE) Request Form
7. Maternal Morbidity Structural Measure
8. Population and Sampling
9. CMS Quality Reporting Validation Educational
Review Form
10. Electronic Clinical Quality Measure (eCQM)
Denominator Declaration
11. Total Hip Arthroplasty/Total Knee Arthroplasty
(THA-TKA) Patient-Reported Outcome-based
Performance Measure (PRO-PM)
12. Hospital Commitment to Health Equity (HCHE)
1.

Notes on Updates

•

No updates made.

•

Updated to simplify form by consolidating the list of requested elements.

•
•

•

Added the REHQR program.
Removed COVID-19 HCP, except for the PCHQR Program, and SDOH measures due to rulemaking
proposals.
In the contact sections, separated “Name and Title” to have a line for Name and another line for Title.
This is due to quite often the provider does not nclude their title.
No updates made.

•
•

Revised form to reflect potential for ECE extension, rather than only exception.
Updates to instruction language for clarity and proposed deadlines.

•
•
•

No updates made.
No updates made
No updates made.

•

Updated the measures, the measure names, and the order of the measures to align with changes made in
the HQR System.
No updates made.

•

•

13. Social Drivers of Health (SDOH)

•

14. Hospital Value-Based Purchasing (VBP) Program
Review and Corrections Request Form
15. Hospital Value-Based Purchasing (VBP) Program
Appeal Request Form
16. Hospital Value-Based Purchasing (VBP) Program
Independent CMS Review Request Form

•

Removed this data form from the PRA package due to the proposal to remove this measure from the IQR
program.
Removed this data form from the PRA package due to the proposal to remove this measure from the IQR
program.
No updates made.

•

No updates made.

•

No updates made.

•

Page 1 of 1