OMB control number
Medical Expenditure Panel Survey - Household and Medical Provider Components
OMB 0935-0118 · HHS/AHRQ.
The MEPS was initiated in 1996. Each year a new panel of sample households is selected. Recent annual MEPS-HC sample sizes average about 13,500 households. Data can be analyzed at either the person, family, or event level. The panel design of the survey, which includes 5 Rounds of interviews covering 2 full calendar years, provides data for examining person level changes in selected variables such as expenditures, health insurance coverage, and health status (see Medical Expenditure Panel Survey Content Summary of the Household Interview (ahrq.gov) for information on how the Covid-19 pandemic impacted this design). Using a combination of computer assisted personal interviewing (CAPI), computer assisted video interviewing (CAVI), and self-administered paper and web questionnaires, information about each household member is collected, and the survey builds on this information from interview to interview. CAVI is a new data collection technology and offers the best of both telephone and in-person interviewing, while offering opportunities for cost savings and more accurate reporting. This Information Collection Request (ICR) is for a revision to the Medical Expenditures Panel Survey – Household Component (MEPS-HC). These changes will be fielded in the Spring and Fall of 2025 and includes the addition of the Burdens and Economic Impacts of Medical Care Self-Administered Questionnaire (ESAQ), minor changes to questions in both the Core MEPS Interview and the Adult SAQ and removing the Cancer SAQ (CSAQ).
The latest form for Medical Expenditure Panel Survey - Household and Medical Provider Components expires 2026-09-30 and can be found here.
MEPS-HC Core Interview
Federal Enterprise Architecture: Health - Health Care Services
| Form 26 | Health Insurance Section | Fillable Fileable | Form and instruction |
| Form 45 | Start-Restart Section | Fillable Fileable | Form and instruction |
| Form 44 | Review of Employment Section | Fillable Fileable | Form and instruction |
| Form 43 | Respondent Forms Section | Fillable Fileable | Form and instruction |
| Form 42 | Reenumeration B Section | Fillable Fileable | Form and instruction |
| Form 41 | Reenumeration A Section | Fillable Fileable | Form and instruction |
| Form 40 | Quality Supplement Section | Fillable Fileable | Form and instruction |
| Form 39 | Provider Roster Section | Fillable Fileable | Form and instruction |
| Form 38 | Old Public Related Insurance Section | Fillable Fileable | Form and instruction |
| Form 37 | Provider Probes Section | Fillable Fileable | Form and instruction |
| Form 36 | Prescribed Medicines Section | Fillable Fileable | Form and instruction |
| Form 35 | Priority Condition Section | Fillable Fileable | Form and instruction |
| Form 34 | Outpatient Department Section | Fillable Fileable | Form and instruction |
| Form 33 | Other Medical Expenses Section | Fillable Fileable | Form and instruction |
| Form 32 | Off Path Navigation Section | Fillable Fileable | Form and instruction |
| Form 31 | Old Employment-Private Related Insurance Section | Fillable Fileable | Form and instruction |
| Form 30 | Medical Visit Section | Fillable Fileable | Form and instruction |
| Form 28 | Income Section | Fillable Fileable | Form and instruction |
| Form 27 | Institutional Care Stay Section | Fillable Fileable | Form and instruction |
| Form 25 | Hospital Stay Section | Fillable Fileable | Form and instruction |
| Form 24 | Time Period Covered Detail Section | Fillable Fileable | Form and instruction |
| Form 23 | Health Insurance Detail Section | Fillable Fileable | Form and instruction |
| Form 22 | Home Health Section | Fillable Fileable | Form and instruction |
| Form 21 | Health Status Section | Fillable Fileable | Form and instruction |
| Form 20 | Global Section | Fillable Fileable | Form and instruction |
| Form 19 | Food Security Section | Fillable Fileable | Form and instruction |
| Form 18 | Flat Fee Section | Fillable Fileable | Form and instruction |
| Form 17 | Employment Wages Section | Fillable Fileable | Form and instruction |
| Form 16 | Event Roster Section | Fillable Fileable | Form and instruction |
| Form 15 | Emergency Room Section | Fillable Fileable | Form and instruction |
| Form 14 | Employment Driver Section | Fillable Fileable | Form and instruction |
| Form 13 | Employment Section | Fillable Fileable | Form and instruction |
| Form 12 | Event Follow-Up Section | Fillable Fileable | Form and instruction |
| Form 10 | Event Driver Section | Fillable Fileable | Form and instruction |
| Form 9 | Dental Visit Section | Fillable Fileable | Form and instruction |
| Form 8 | Child Preventive Health Section | Fillable Fileable | Form and instruction |
| Form 7 | Charge Payment Section | Fillable Fileable | Form and instruction |
| Form 6 | Contacting Module Section | Fillable Fileable | Form and instruction |
| Form 5 | Closing Section | Fillable Fileable | Form and instruction |
| Form 4 | Calendar Section | Fillable Fileable | Form and instruction |
| Form 3 | Assets | Fillable Fileable | Form and instruction |
| Form 29 | Institutional Care Section | Fillable Fileable | Form and instruction |
| Form 46 | Telehealth Section | Fillable Fileable | Form and instruction |
| Form 2 | Additional Health Questions | Fillable Fileable | Form and instruction |
| Form 11 | Event Enumeration Section | Fillable Fileable | Form and instruction |
| Form 1 | Access to Care | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.