Updated Version 2023 Form CMS-2728 Available Online

Updated Version 2023 Form CMS-2728 Available Online

March 19, 2024

The Centers for Medicare and Medicaid Services (CMS) has finalized the updated version 2023 Form CMS-2728. The updated form has been re-posted to the CMS.gov website with improved formatting. The finalized form can be viewed and downloaded from the CMS.gov website.

Please Note: The End Stage Renal Disease (ESRD) Quality Reporting System (EQRS) will continue to generate the current version 2018 Form CMS-2728. The use of any Form CMS-2728 other than what is available in EQRS is not authorized until otherwise instructed.

Communication on when version 2023 Form CMS-2728 will automatically generate and be available in EQRS will be forthcoming from CMS.

For additional information on the updated version 2023 Form CMS-2728, please refer to the following resources 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.