OMB control number

Medicare Advantage and Prescription Drug Plan Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey Field Test (CMS-10793)

OMB 0938-1432 · HHS/CMS.

OMB 0938-1432

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10793 MA-PD/PDP CAHPS Field Test Survey Form and Instruction
Form CMS-10793 MA-Only CAHPS Field Test Survey Form and Instruction
CMS-10793 Supporting Statement A.docx Supporting Statement A
CMS Response to Public Comments Received for CMS-10793_1-26-22.docx Supplementary Document
CMS-10793 Supporting Statement B.docx Supporting Statement B
MA-PD/PDP CAHPS Field Test Survey Form and Instruction
MA-Only CAHPS Field Test Survey Form and Instruction

All Historical Document Collections

202201-0938-021

2022-02-07