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.
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.
Document Name |
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Form and Instruction |
Form and Instruction |
Form and Instruction |
Supporting Statement A |
Justification for No Material/Nonsubstantive Change |
Supplementary Document |
Supporting Statement B |
Medicare Advantage (MA) Survey
Federal Enterprise Architecture: Health - Health Care Services
| Form CMS-R-246 | Medicare Advantage Plan Survey - Tagalog | Fillable Printable | Form and instruction |
| Form CMS-R-246 | Medicare Advantage Plan Survey - Vietnamese | Fillable Printable | Form and instruction |
| Form CMS-R-246 | Medicare Advantage Plan Survey - Spanish | Fillable Printable | Form and instruction |
| Form CMS-R-246 | Medicare Advantage Plan Survey - Korean | Fillable Printable | Form and instruction |
| Form CMS-R-246 | Medicare Advantage Plan Survey - Chinese | Fillable Printable | Form and instruction |
| Form CMS-R-246 | Medicare Advantage Plan Survey | Fillable Printable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.