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CAHPS Hospice Vendor Authorization

 

Hospice agencies are required to complete documentation that authorizes their CAHPS Hospice Survey vendor to collect and submit survey data to CMS. Survey vendors cannot submit CAHPS Survey data on a hospice agency’s behalf without their documented authorization to do so.

 

The hyperlinks below provide direct access to the forms hospice agencies are required to complete and submit. Review the form description to identify the appropriate documents and click the red underlined text to access the form. Forms will open in another tab so you can keep your place in the Axxess Help Center.

 

Complete the Data Warehouse Access Form and one of the Survey Vendor Authorization Forms, and submit the complete forms to the CAHPS Hospice Survey Team identified on the forms:

 

Data Warehouse Access Form

A hospice must have access to the CAHPS Hospice Survey Data Warehouse in order to monitor the data submitted by its authorized survey vendor. Complete this form to get access to the CAHPS Hospice Data Warehouse.

 

Survey Vendor Authorization Form

Complete this form if authorizing a CAHPS Hospice Survey vendor for the first time.

 

Survey Vendor Authorization Form for Changing Vendors

Complete this form if switching CAHPS Hospice Survey vendors.