Notice: AO, PT & VA users MUST submit a request for a CMSNet User ID to access secure CMS sites (e.g., submissions pages/reports) unless an otherwise secure connection has been established.
In addition to the CMSNet account, AO, PT & VA users will also need to complete the QIES National Data Access Request Form.
Note: The following forms are for State Agency, Regional Office, Central Office, AO, PT & VA use only.
New Providers: Please contact your State to request access.
General User: QIES National Data Access Request Instructions (Updated 09/22/2017)
QIES National Data Access Request Form (Updated 07/29/2020)
CMSNet Access Request (Only use this form to remove individual access or request access if online registration is unavailable)
How to Complete and Save a PDF Form Electronically (Posted 09/08/2009)