Reminder: The 2023 ICH CAHPS Survey Facility Non-Participation Form Deadline is February 28, 2023
folder_openFacility Participation Requirementscalendar_todayPosted February 22, 2023

Please note that the deadline for submitting the 2023 Facility Non-Participation Form for the ICH CAHPS Survey is 5:00 PM Eastern Time on February 28, 2023. To access this form, login to the website using your user credentials and choose “Facility Non-Participation Form” under the For Facilities menu.

As noted in an email message sent to in-center hemodialysis (ICH) facilities on January 3, 2023 and posted under the Quick Links menu on the ICH CAHPS website’s home page, all ICH facilities must determine whether they will be required to administer the ICH CAHPS Surveys in calendar year 2023 by counting the number of survey-eligible patients they served in 2022.

ICH facilities that determine that they are not required to administer the 2023 ICH CAHPS Surveys and those that choose not to administer the surveys must complete and submit the 2023 Facility Non-Participation Form on the website.

ICH facilities should please note the following:

  • The Facility Non-Participation Form is an annual form that is valid only for the year in which it was submitted. ICH facilities that submitted the Facility Non-Participation Form in 2022 must submit the 2023 Facility Non-Participation Form if they do not plan to administer the 2023 ICH CAHPS Spring and Fall Surveys.
  • Submission of the Facility Non-Participation Form only alerts the ICH CAHPS Coordination Team that the facility does not wish for a sample file to be provided to their authorized vendor for the current calendar year; it does not affect compliance, which is determined on an annual basis by the ESRD Quality Incentive Program (QIP) team.
  • Once the Facility Non-Participation Form is submitted, any existing vendor authorization for the submitted CCN(s) is removed from the ICH CAHPS website. This means that if at any point in the future the submitted CCN(s) wishes to participate in the ICH CAHPS Surveys, the designated ICH CAHPS Facility Survey Administrator will need to authorize a survey vendor for the CCN(s).
  • Facilities certified after December 31, 2022 are not required to complete and submit the online Facility Non-Participation Form, unless they are currently registered with an authorized vendor on the ICH CAHPS website.

Please contact the ICH CAHPS Coordination Team at 1-866-245-8083 or via email at if you have any questions or need more information about the Facility Non-Participation Form.