EQRS News Flash: Updated Form CMS-2728 Available in EQRS

Updated Form CMS-2728

Available in EQRS

August 26, 2024 

On November 30, 2023, the Centers for Medicare & Medicaid Services (CMS) updated Form CMS-2728 (also known as the End Stage Renal Disease (ESRD) Medical Evidence Report Medicare Entitlement and/or Patient Registration) on CMS.gov.  

The updated Form CMS-2728 now captures additional patient details in sections A, B, C, and FA significant part of the updates in section A consists of 8 questions (#22 – #29) that collect information on certain factors of social drivers of health (SDOH). In response to feedback from interested parties regarding duplication of effort between the SDOH section of the CMS-2728 and the ESRD Quality Incentive Program (QIP) SDOH screening tool, CMS is retracting several of the SDOH related questions from the CMS-2728. The retracted fields can be identified by a “no longer applicable” designation in the Reference Guide: Form CMS-2728 Updates. The table below highlights the SDOH fields that are no longer applicable, as well as those that will continue to be included on the CMS-2728. Questions that are no longer applicable are shaded in gray. 

Form CMS-2728 SDOH Question Status 

Question

Status

#22 Does the patient have a living will or Medical/Physician order for life sustaining treatment?

Remaining

#23 Are you currently concerned about where you will live over the next 90 days?

No longer applicable

#24 (a) Do you have caregiver support to assist with your daily care?

(b) With home dialysis/kidney transplant?

(c) Does the caregiver live with you?

Remaining

#25 Do you have access to reliable transportation?

No longer applicable

#26 (a) Do you understand health literature in English?

(b) Do you need a different way other than written documents to learn about your health?

(c) Do you need a translator to understand health information?

Remaining

#27 Do you find it hard to pay for the very basics like housing, medical care, electricity, and heating?

No longer applicable

#28 Within the past 12 months, has the food you bought not lasted and you didn’t have money to get more?

No longer applicable

#29 Has anyone, including family and friends, threatened you with harm or physically hurt you in the last 12 months?

No longer applicable

Effective October 1, 2024, the updated Form CMS-2728 will automatically generate in the EQRS Patient Registry application whenever an Initial, Re-entitlement, or Supplemental Form CMS-2728 is added. At that time, the retracted SDOH fields will not be available for data entry into the system. The EQRS version of the CMS-2728 will continue to align with all other aspects of the version as released on CMS.gov.  

Users can refer to the Form CMS-2728 Updates: FAQs document for additional guidance when completing Form CMS-2728. These resources are available on the Education page on www.MyCROWNWeb.org

For assistance with EQRS technical issues, please contact the Center for Clinical Standards and Quality (CCSQ) Service Center. The CCSQ Service Center is open Monday-Friday 8 a.m. to 8 p.m. Eastern Time and can be reached via phone at 866-288-8912, email at qnetsupport-esrd@cms.hhs.gov or online at the CCSQ Support Center.

For assistance with general EQRS and ESRD QIP questions, please contact the ESRD QIP Team via the QualityNet Q&A Tool.