Answers to your HOPE-related questions

Starting October 1, 2025, the current hospice data set (HIS) will be replaced by the new Hospice Outcomes and Patient Evaluation (HOPE) assessment. Hospice providers will also be required to submit their data via iQIES for the first time. CMS has released the final rule (available here: Hospice Final Rule) and the first edition of the HOPE Guidance Manual (available here: HOPE Guidance Manual - v1.00).

We compiled a list of frequently asked questions and provided answers based on available guidance from CMS. This document is free to use and download.

Last updated on February 17, 2025

What you'll find in this FAQ

This collection of questions and answers is designed to address the most pressing concerns hospice providers might have regarding the transition from HIS to HOPE. We cover topics like:

• Understanding HOPE Basics: Answers to questions about key HOPE requirements.
• Navigating iQIES: Tips for a smooth transition to the new data submission system.
• Data Collection and Reporting: Insights into what data will be collected and how it should be reported.
• Compliance and Best Practices: Suggestions for maintaining compliance with new regulations.

PLEASE NOTE: These answers are based on guidance released by CMS. That guidance is likely to change before October. We will update this document as additional guidance is released by CMS.

How to use this FAQ

We recommend using this FAQ as a starting point for your HOPE preparation:

• Review with your team: Examine this document and other resources from CMS together, ensuring everyone understands the implications and changes.
• Plan for updates: CMS guidance may evolve before October 1 – check for updates to this FAQ and for additional communication from CMS.
• Ask your questions: If you have questions that aren't covered here, feel free to contact us at simple@ntst.com or post in the comment section below.

Staying Updated

We are committed to keeping this FAQ updated as new information becomes available. Look for more additional guidance from CMS as HOPE requirements are clarified in the coming months.

Preparing for HOPE is an ongoing process. This document is here to help you through the initial steps, but the journey towards implementing these changes will require continuous learning. We will  navigate this transition together as we strive to improve the quality of care for those in their final stages of life.

Thank you for your continued dedication to providing excellent hospice care.