OMB control number

Medicare Advantage, Medicare Part D, and Medicare Fee-For-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey (CMS-R-246)

OMB 0938-0732 · HHS/CMS.

OMB 0938-0732

CMS has fielded the MA (Consumer Assessment of Health Care Providers and Systems) CAHPS Survey annually since 1998, the Medicare FFS CAHPS Survey annually since 2000, and the MA DP and Stand Alone PDP CAHPS survey annually since 2006. The Medicare CAHPS is a national survey of health and prescription drug plans conducted at the contract level for MA, MA PD and Stand Alone PDP plans and at the state level for Medicare fee-for-service. Medicare CAHPS provides data to permit preparation of plan performance measures to assist Medicare beneficiaries in their selection of a health and/or prescription drug plan and help policymakers and others assist the Medicare program and Medicare plans design and monitor patient-centered quality improvement initiatives. The 2009 Call letter for MA and MA PD plans requires these plans to contract with private vendors from a list selected by CMS to conduct the 2011 Medicare CAHPS survey for their plan at the contract level and provide the collected data to CMS for analyses and preparation of CAHPS measures for use in consumer and plan reports and for quality improvement purposes for MA, MA PD, and Stand Alone PDP plans. CMS will continue to collect the Medicare FFS CAHPS data from surveys at the state and some sub-state levels. This revision to a currently approved collection is to add questions focusing on care coordination. The Medicare CAHPS survey has taken the OMB No. 0935-0732.

The latest form for Medicare Advantage, Medicare Part D, and Medicare Fee-For-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey (CMS-R-246) expires 2027-11-30 and can be found here.

All Historical Document Collections
No material or nonsubstantive change to a currently approved collection 2025-06-17
Approved without change
No material or nonsubstantive change to a currently approved collection 2025-04-24
Revision of a currently approved collection 2024-06-25
Approved without change
Revision of a currently approved collection 2023-05-05
Approved without change
Revision of a currently approved collection 2021-02-08
Approved with change
Revision of a currently approved collection 2017-07-18
Approved without change
Revision of a currently approved collection 2015-06-04
Approved with change
Revision of a currently approved collection 2011-10-04
Approved with change
Revision of a currently approved collection 2010-08-13
Approved without change
Extension without change of a currently approved collection 2007-06-19
Approved without change
Revision of a currently approved collection 2006-11-22
Approved without change
Extension without change of a currently approved collection 2004-02-18
Approved without change
Reinstatement with change of a previously approved collection 2001-03-09
Approved without change
Revision of a currently approved collection 2000-05-03
Approved without change
Extension without change of a currently approved collection 1998-11-05
Approved without change
New collection (Request for a new OMB Control Number) 1998-07-13
OMB Details

Medicare Advantage (MA) Survey

Federal Enterprise Architecture: Health - Health Care Services

Form CMS-R-246Medicare Advantage Plan Survey - TagalogFillable PrintableForm and instruction
Form CMS-R-246Medicare Advantage Plan Survey - VietnameseFillable PrintableForm and instruction
Form CMS-R-246Medicare Advantage Plan Survey - SpanishFillable PrintableForm and instruction
Form CMS-R-246Medicare Advantage Plan Survey - KoreanFillable PrintableForm and instruction
Form CMS-R-246Medicare Advantage Plan Survey - ChineseFillable PrintableForm and instruction
Form CMS-R-246Medicare Advantage Plan SurveyFillable PrintableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.