MEPS-HC Core Interview

Medical Expenditure Panel Survey Household Component and Medical Provider Component (MEPS-HC and MEPS-MPC through 2009)

Attachment 60 -- HC Provider Roster Section

MEPS-HC Core Interview

OMB: 0935-0118

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0935-0118 can be found here:

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MEPS FAMES P12R5/P13R3/P14R1 Provider Roster (PV) Section

December 8, 2008

Provider Roster (PV) Section

BOX_00

======

----------------------------------------------------

| CONTEXT HEADER DISPLAY INSTRUCTIONS: |

| DISPLAY PERS.FULLNAME AND EVNT.EVNTTYPE. |

----------------------------------------------------

BOX_00A

=======

----------------------------------------------------

| CAPI SETS PROV.PROVTYPE USING DATA FROM MULTIPLE |

| QUESTIONS, NOT JUST PV01. ULTIMATELY, THE VALUES |

| ARE AS FOLLOWS: |

| 1 – FACILITY |

| 2 – PERSON |

| 3 – PERSON IN FACILITY |

----------------------------------------------------

PV01

====

{PERSON’S FIRST MIDDLE AND LAST NAME} {EV}

{[What is the name of the person or place that provided health

care to (PERSON)?]}

INTERVIEWER: IS THE PROVIDER {ASSOCIATED WITH THIS EVENT} A

PERSON OR A FACILITY (INCLUDING GROUP PRACTICES AND HMOs)?

{IF FACILITY NAMED, PROBE: If (PERSON) usually (see/sees)

a particular person at this place, please give me the

name of that person first.}

PERSON ................................. 1

FACILITY ............................... 2 {BOX_01}

HELP AVAILABLE FOR DEFINITION OF PERSON/FACILITY.

----------------------------------------------------

| DISPLAY ‘[What is ... (PERSON)?]’ AND ‘ASSOCIATED |

| WITH THIS EVENT’ IF THE PROVIDER ROSTER (PV) |

| SECTION WAS NOT CALLED FROM THE ACCESS TO CARE |

| (AC) SECTION. IF THE PV SECTION WAS CALLED FROM |

| THE AC SECTION, USE A NULL DISPLAY. |

| |

| DISPLAY ‘IF FACILITY NAMED, PROBE: ... person |

| first.’ IF THE PV SECTION WAS CALLED FROM THE AC |

| SECTION. IF THE PV SECTION WAS NOT CALLED FROM |

| THE AC SECTION, USE A NULL DISPLAY. |

----------------------------------------------------

| IF CODED ‘1’ (PERSON), SET PROVIDER TYPE TO |

| ‘PERSON-TYPE-PROVIDER’. |

----------------------------------------------------

| IF CODED ‘2’ (FACILITY), SET PROVIDER TYPE TO |

| ‘FACILITY-PROVIDER’. |

----------------------------------------------------

| IF NO PERSON-PROVIDERS ON RU-MEDICAL-PROVIDERS- |

| ROSTER AND PV01 IS CODED ‘1’, THEN CREATE A NEW |

| PROV RECORD. |

----------------------------------------------------

| IF CODED ‘1’ (PERSON) AND NO PROVIDERS THAT ARE |

| TYPE ‘PERSON-PROVIDER’ ON RU-MEDICAL-PROVIDERS- |

| ROSTER, GO TO PV04 |

----------------------------------------------------

| IF CODED ‘1’ (PERSON) AND AT LEAST ONE PROVIDER |

| THAT IS TYPE ‘PERSON-PROVIDER’ ON RU-MEDICAL- |

| PROVIDERS-ROSTER, CONTINUE WITH PV02 |

----------------------------------------------------

| HARD CHECK: IF EVENT TYPE IS HS, ER, OP, OR IC, |

| PV01 CANNOT BE CODED ‘1’ (PERSON). IF PV01 IS |

| CODED ‘1’ (PERSON) FOR AN HS, ER, OP, OR IC EVENT,|

| THE ERROR HANDLER WILL FORCE THE INTERVIEWER TO |

| RECTIFY THE DATA. |

----------------------------------------------------

PV02

====

{PERSON'S FIRST MIDDLE AND LAST NAME} {EV}

What is the name of the person that {provided health

care to (PERSON)/(PERSON) usually (go/goes) to if

(PERSON) (is/are) sick}?

SELECT CORRECT {USUAL SOURCE OF CARE} PROVIDER {ASSOCIATED

WITH THE EVENT}.

|--------------------------|------------------------|----------------------|

| ROSTER. | PV02_02. FACILITY | PV02_03. STREET |

| PERSON-TYPE-PROVIDER | | |

|--------------------------|------------------------|----------------------|

| 1. [Display Truncated | [Display Truncated | [Display Truncated |

| Person-Provider-25] | Facility-Provider-30] | Street Address-15] |

|--------------------------|------------------------|----------------------|

| 2. [Display Truncated | [Display Truncated | [Display Truncated |

| Person-Provider-25] | Facility-Provider-30] | Street Address-15] |

|--------------------------|------------------------|----------------------|

| 3. [Display Truncated | [Display Truncated | [Display Truncated |

| Person-Provider-25] | Facility-Provider-30] | Street Address-15] |

|--------------------------|------------------------|----------------------|

----------------------------------------------------

| DISPLAY ‘provided health care to (PERSON)’ IF THE |

| PROVIDER ROSTER (PV) SECTION WAS NOT CALLED FROM |

| THE ACCESS TO CARE (AC) SECTION. IF THE PV |

| SECTION WAS CALLED FROM THE AC SECTION, DISPLAY |

| ‘(PERSON) usually (go/goes) to if (PERSON) |

| (is/are) sick’. |

----------------------------------------------------

| DISPLAY ‘USUAL SOURCE OF CARE’ IF THE PROVIDER |

| ROSTER (PV) SECTION WAS CALLED FROM THE ACCESS TO |

| CARE (AC) SECTION. OTHERWISE, USE A NULL DISPLAY.|

| |

| DISPLAY ‘ASSOCIATED WITH THE EVENT’ IF THE |

| PROVIDER ROSTER (PV) SECTION WAS NOT CALLED FROM |

| THE ACCESS TO CARE (AC) SECTION. IF THE PV |

| SECTION WAS CALLED FROM THE AC SECTION, USE A NULL|

| DISPLAY. |

| |

| DISPLAY AN ‘ADD PROVIDER’ OPTION ON THIS SCREEN. |

----------------------------------------------------

| IF 'ADD NEW PROVIDER' IS SELECTED, GO TO PV04 |

----------------------------------------------------

| OTHERWISE, CONTINUE WITH PV03 |

----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: RU_PROV_SELECTONE_1 |

| |

| COL # 1 HEADER: PERSON-TYPE-PROVIDER |

| INSTRUCTIONS: DISPLAY TRUNCATED PERSON-PROVIDER |

| NAME (PROV.DRFNAME (10), PROV.LORPNAME (15)) |

| |

| COL # 2 HEADER: FACILITY |

| INSTRUCTIONS: DISPLAY FACILITY-PROVIDER NAME |

| (PROV.PVASSOC (30)) (IF NO FACILITY, USE NULL |

| DISPLAY) |

| |

| COL # 3 HEADER: STREET |

| INSTRUCTIONS: DISPLAY TRUNCATED STREET ADDRESS |

| (PROV.PVSTRT1, PROV.PVSTRT2 (15)) |

----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS RU-MEDICAL-PROVIDERS-ROSTER |

| FOR SELECTING ONE MEDICAL PROVIDER. |

----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. SELECT ALLOWED. INTERVIEWER MAY SELECT ONE |

| FROM THE LISTED MEDICAL PROVIDERS. |

| |

| 2. MULTIPLE SELECT DISALLOWED. |

| |

| 3. ADD ALLOWED USING THE ‘ADD PROVIDER’ BUTTON. |

| |

| 4. DELETE AND EDIT ARE NOT ALLOWED. |

| |

| 5. IF PROVIDER IS A PERSON-PROVIDER NOT ASSOCIATED|

| WITH A FACILITY (PROV.PROVTYPE=2), THE FACILITY|

| COLUMN IS EMPTY FOR THAT ROW. |

----------------------------------------------------

| ROSTER FILTER: |

| DISPLAY PERSON PROVIDERS (PROV.PROVTYPE = 2) |

| AND PERSON-IN-FACILITY PROVIDERS (PROV.PROVTYPE = |

| 3). |

----------------------------------------------------

PV03

====

{PERSON'S FIRST MIDDLE AND LAST NAME} {EV}

Is the address of (READ NAME AND ADDRESS OF PROVIDER BELOW)...

{PERSON-TYPE-PROVIDER NAME SELECTED AT PV02}

{FACILITY-PROVIDER ASSOC W/ PERSON-TYPE-PROVIDER}

{PERSON-TYPE-PROVIDER STREET ADDRESS LINE1}

{PERSON-TYPE-PROVIDER STREET ADDRESS LINE2}

ADDRESS {& FACILITY NAME} CORRECT ...... 1 {BOX_02}

ADD NEW ADDRESS FOR PROVIDER ........... 2 {PV06}

ADD NEW/DIFFERENT FACILITY FOR

PROVIDER ............................. 3 {BOX_01}

SELECTED WRONG PROVIDER/ADDRESS ........ 5

REF ................................... -7 {BOX_02}

DK .................................... -8 {BOX_02}

[Code One]

----------------------------------------------------

| FOR {PERSON-TYPE-PROVIDER NAME SELECTED AT PV02}, |

| DISPLAY THE PERSON-TYPE-PROVIDER NAME SELECTED AT |

| PV02. |

| FOR {FACILITY-PROVIDER ASSOC W/ PERSON-TYPE- |

| PROVIDER.}, DISPLAY THE FACILITY PROVIDER NAME |

| ASSOCIATED WITH THE PERSON-PROVIDER SELECTED AT |

| PV02. IF NO FACILITY ASSOCIATED WITH THIS |

| PERSON PROVIDER, USE A NULL DISPLAY. |

| FOR {PERSON-TYPE-PROVIDER STREET ADDRESS LINE1} |

| AND {PERSON-TYPE-PROVIDER STREET ADDRESS LINE2}, |

| DISPLAY LINES 1 & 2 OF THE ADDRESS FOR THE PERSON |

| PROVIDER SELECTED AT PV02. |

| |

| DISPLAY ‘& FACILITY NAME’ IF THERE IS A FACILITY- |

| PROVIDER NAME ASSOCIATED WITH THE PERSON PROVIDER |

| SELECTED AT PV02. IF NO FACILITY ASSOCIATED WITH |

| THIS PROVIDER, USE A NULL DISPLAY. |

----------------------------------------------------

| IF “ADD NEW ADDRESS FOR PROVIDER” SELECTED, CREATE|

| A NEW PROVIDER RECORD FOR THIS PROVIDER. SET |

| PROVIDER TYPE AS ‘PERSON-TYPE-PROVIDER’ |

| (PROVTYPE=2). |

----------------------------------------------------

| IF CODED ‘5’ (SELECTED WRONG PROVIDER/ADDRESS), |

| CAPI REDISPLAYS PV02 TO ALLOW INTERVIEWER TO |

| SELECT CORRECT PROVIDER. |

----------------------------------------------------

PV04

====

{PERSON'S FIRST MIDDLE AND LAST NAME} {EV}

What is the first and last name of the person that {provided

health care to (PERSON)/(PERSON) usually (go/goes) to if

(PERSON) (is/are) sick}?

ENTER COMPLETE PROVIDER NAME {ASSOCIATED WITH THIS EVENT}

AND VERIFY SPELLING.

[Enter Provider Name-65] ............... {PV05}

----------------------------------------------------

| DISPLAY ‘provided health care to (PERSON)’ IF THE |

| PROVIDER ROSTER (PV) SECTION WAS NOT CALLED FROM |

| THE ACCESS TO CARE (AC) SECTION. IF THE PV |

| SECTION WAS CALLED FROM THE AC SECTION, DISPLAY |

| ‘(PERSON) usually (go/goes) to if (PERSON) |

| (is/are) sick’. |

----------------------------------------------------

| DISPLAY ‘ASSOCIATED WITH THIS EVENT’ IF THE |

| PROVIDER ROSTER (PV) SECTION WAS NOT CALLED FROM |

| THE ACCESS TO CARE (AC) SECTION. IF THE PV |

| SECTION WAS CALLED FROM THE AC SECTION, USE A |

| NULL DISPLAY. |

----------------------------------------------------

| DISPLAY ‘CLICK ‘ADD PROVIDER’ TO ADD A NEW |

| PROVIDER.’ IF THERE ARE NO RECORDS IN THE ROSTER. |

----------------------------------------------------

| CREATE A NEW PERSON-PROVIDER ON THE RU-MEDICAL- |

| PROVIDERS-ROSTER. |

----------------------------------------------------

PV05

====

{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE

PROVIDER......} {EV}

Is (PROVIDER) in a group practice, that is, do other doctors

practice at the same office (or are part of an HMO)?

YES .................................... 1 {BOX_01}

NO ..................................... 2 {PV06}

REF ................................... -7 {PV06}

DK .................................... -8 {PV06}

----------------------------------------------------

| IF CODED ‘1’ (YES), FLAG PROVIDER AS ‘PERSON-IN- |

| FACILITY-PROVIDER’ (PROVTYPE=3). |

----------------------------------------------------

| IF CODED ‘2’ (NO), FLAG PROVIDER AS ‘PERSON- |

| PROVIDER’ (PROVTYPE=2). |

----------------------------------------------------

PV06

====

{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE

PROVIDER......} {EV}

What is the {new} street address for (PROVIDER)?

ENTER STREET ADDRESS AND VERIFY SPELLING. IF PROVIDER HAS

MORE THAN ONE LOCATION, RECORD LOCATION PERSON VISITED.

PROVIDER_STR1: [_____________]

PROVIDER_STR2: [_____________]

----------------------------------------------------

| DISPLAY ‘new’ IF PV03 IS CODED ‘2’ (ADD NEW |

| ADDRESS FOR PROVIDER). OTHERWISE, USE A NULL |

| DISPLAY. |

----------------------------------------------------

| CODES '-7' (REF) AND '-8' (DK) ARE ALLOWED ON EACH|

| ADDRESS FIELD. |

----------------------------------------------------

| IF PV04 WAS ASKED, ASSOCIATE ADDRESS WITH |

| PERSON-TYPE-PROVIDER ENTERED AT PV04. |

----------------------------------------------------

| IF PV03 WAS CODED ‘2’ (ADD NEW ADDRESS PROVIDER), |

| RECORD ADDRESS IN THE NEW PROVIDER RECORD CREATED |

| AT PV03. |

| |

| IF A FACILITY WAS DISPLAYED AS PART OF PROVIDER’S |

| ADDRESS AT PV03, ASSOCIATE THAT FACILITY WITH THE |

| NEW PROVIDER RECORD AND FLAG THE PERSON |

| PROVIDER AS A ‘PERSON-IN-FACILITY-PROVIDER’ |

| (PROVTYPE=3). |

----------------------------------------------------

| GO TO BOX_02 |

----------------------------------------------------

PV07

====

OMITTED.

BOX_01

======

----------------------------------------------------

| IF NO PROVIDERS THAT ARE ‘FACILITY-PROVIDER’ |

| (PROVTYPE=1) ON RU-MEDICAL-PROVIDERS-ROSTER, GO |

| TO PV10 |

----------------------------------------------------

| OTHERWISE, CONTINUE WITH PV08 |

----------------------------------------------------

PV08

====

{PERSON'S FIRST MIDDLE AND LAST NAME} {EV}

What is the name of the place that {provided health

care to (PERSON)/(PERSON) usually (go/goes) to if

(PERSON) (is/are) sick}?

SELECT CORRECT {USUAL SOURCE OF CARE} {PROVIDER/FACILITY}

{ASSOCIATED WITH THE EVENT}.

|-------------------------------|-------------------------|

| ROSTER. FACILITY-PROVIDERS | PV08_02. STREET |

|-------------------------------|-------------------------|

| [Display Truncated | [Display Truncated |

| Facility-Provider-30] | Street Address-15] |

|-------------------------------|-------------------------|

| [Display Truncated | [Display Truncated |

| Facility-Provider-30] | Street Address-15] |

|-------------------------------|-------------------------|

| [Display Truncated | [Display Truncated |

| Facility-Provider-30] | Street Address-15] |

|-------------------------------|-------------------------|

----------------------------------------------------

| DISPLAY ‘provided health care to (PERSON)’ IF THE |

| PROVIDER ROSTER (PV) SECTION WAS NOT CALLED FROM |

| THE ACCESS TO CARE (AC) SECTION. IF THE PV |

| SECTION WAS CALLED FROM THE AC SECTION, DISPLAY |

| ‘(PERSON) usually (go/goes) to if (PERSON) |

| (is/are) sick’. |

----------------------------------------------------

| DISPLAY ‘USUAL SOURCE OF CARE’ IF THE PROVIDER |

| ROSTER (PV) SECTION WAS CALLED FROM THE ACCESS TO |

| CARE (AC) SECTION. OTHERWISE, USE A NULL DISPLAY.|

| |

| DISPLAY ‘PROVIDER’ IF PV01 IS CODED ‘1’ |

| (PERSON). DISPLAY ‘FACILITY’ IF PV01 IS CODED |

| ‘2’ (FACILITY). |

| |

| DISPLAY ‘ASSOCIATED WITH THE EVENT’ IF THE |

| PROVIDER ROSTER (PV) SECTION WAS NOT CALLED FROM |

| THE ACCESS TO CARE (AC) SECTION. IF THE PV |

| SECTION WAS CALLED FROM THE AC SECTION, USE A NULL|

| DISPLAY. |

| |

| DISPLAY AN 'ADD PROVIDER' OR ‘ADD NEW FACILITY’ |

| OPTION ON THIS SCREEN. |

----------------------------------------------------

| IF ‘ADD PROVIDER’ IS SELECTED, GO TO PV10 (NOTE |

| THAT PV10 IS ACTUALLY A POPUP ON PV08 AND PV09) |

----------------------------------------------------

| OTHERWISE, CONTINUE WITH PV09 |

----------------------------------------------------

| ROSTER DETAILS: |

| TITLE: RU_PROV_SELECTONE_2 |

| |

| COL # 1 HEADER: FACILITY-PROVIDER |

| INSTRUCTIONS: DISPLAY TRUNCATED FACILITY-PROVIDER |

| (PROV.LORPNAME) |

| |

| COL # 2 HEADER: STREET |

| INSTRUCTIONS: DISPLAY TRUNCATED STREET ADDRESS |

| (PROV.PVSTRT1, PROV.PVSTRT2) |

----------------------------------------------------

| ROSTER DEFINITION: |

| THIS ITEM DISPLAYS RU-MEDICAL-PROVIDERS-ROSTER |

| FOR SELECTING ONE FACILITY TYPE MEDICAL PROVIDER. |

----------------------------------------------------

| ROSTER BEHAVIOR: |

| 1. SELECT ALLOWED. INTERVIEWER MAY SELECT ONE |

| FROM THE LISTED MEDICAL PROVIDERS. |

| |

| 2. MULTIPLE SELECT DISALLOWED. |

| |

| 3. DELETE AND EDIT ARE NOT ALLOWED. |

| |

| 4. ADD ALLOWED. INTERVIEWER CAN SELECT THE ‘ADD |

| PROVIDER’ BUTTON. |

----------------------------------------------------

| ROSTER FILTER: |

| DISPLAY FACILITY TYPE (PROV.PROVTYPE = 1) |

| PROVIDERS. |

----------------------------------------------------

PV09

====

{PERSON'S FIRST MIDDLE AND LAST NAME} {EV}

Is the address of (READ NAME AND ADDRESS OF

({PROVIDER/FACILITY}) BELOW)...

{FACILITY NAME SELECTED AT PV08}

{FACILITY STREET ADDRESS LINE1}

{FACILITY STREET ADDRESS LINE2}

FACILITY NAME AND ADDRESS CORRECT ...... 1 {BOX_02}

ADD NEW ADDRESS FOR FACILITY ........... 2 {PV10}

SELECTED WRONG FACILITY/ADDRESS ........ 4

REF ................................... -7 {BOX_02}

DK .................................... -8 {BOX_02}

[Code One]

----------------------------------------------------

| DISPLAY ‘PROVIDER’ IF PV01 IS CODED ‘1’ |

| (PERSON). DISPLAY ‘FACILITY’ IF PV01 IS CODED |

| ‘2’ (FACILITY). |

| |

| FOR: {FACILITY NAME SELECTED AT PV08}, DISPLAY |

| THE FACILITY-PROVIDER NAME SELECTED AT PV08. |

| FOR: {FACILITY STREET ADDRESS LINE1.} AND |

| {FACILITY STREET ADDRESS LINE2.}, DISPLAY LINES |

| 1 AND 2 OF THE ADDRESS FOR THE FACILITY-PROVIDER |

| SELECTED AT PV08. |

----------------------------------------------------

| IF CODED ‘1’ (FACILITY NAME AND ADDRESS CORRECT) |

| AND PV01 IS CODED ‘1’ (PERSON), LINK THE FACILITY |

| SELECTED AT PV08 TO THE PERSON PROVIDER FLAGGED |

| AS ‘PERSON-IN-FACILITY-PROVIDER’. |

----------------------------------------------------

| IF FACILITY-PROVIDER WAS SELECTED AT PV08 AND |

| PV09 WAS CODED ‘2’ (ADD NEW ADDRESS FOR FACILITY),|

| CREATE ANOTHER RECORD FOR THE FACILITY-PROVIDER ON|

| THE RU-MEDICAL-PROVIDERS-ROSTER AND ASSOCIATE |

| ADDRESS THAT WILL BE ENTERED AT PV10 WITH THAT NEW|

| PROVIDER RECORD. FLAG NEW PROVIDER AS FACILITY |

| (PROVTYPE=1). |

----------------------------------------------------

| IF CODED '4' (SELECTED WRONG FACILITY/ADDRESS), |

| CAPI REDISPLAYS PV08 TO ALLOW INTERVIEWER TO |

| SELECT CORRECT FACILITY. |

----------------------------------------------------

PV10

====

{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE

PROVIDER......} {EV}

What is the {new} name and street address of the place that

{provided health care to (PERSON)/(PERSON) usually (go/goes)

to if (PERSON) (is/are) sick}?

ENTER {NAME AND} STREET ADDRESS AND VERIFY SPELLING. IF

({PROVIDER/FACILITY}) HAS MORE THAN ONE LOCATION, RECORD LOCATION

PERSON VISITED.

FACILITY_NAME (PV10_01): [_____________]

FACILITY_STR1 (PV10_02): [_____________] {BOX_02}

FACILITY_STR2 (PV10_03): [_____________] {BOX_02}

REF ................................... -7 {BOX_02}

DK .................................... -8 {BOX_02}

----------------------------------------------------

| DISPLAY ‘provided health care to (PERSON)’ IF THE |

| PROVIDER ROSTER (PV) SECTION WAS NOT CALLED FROM |

| THE ACCESS TO CARE (AC) SECTION. IF THE PV |

| SECTION WAS CALLED FROM THE AC SECTION, DISPLAY |

| ‘(PERSON) usually (go/goes) to if (PERSON) |

| (is/are) sick’. |

----------------------------------------------------

| DISPLAY ‘new’ IF PV09 IS CODED ‘2’ (ADD NEW |

| ADDRESS FOR FACILITY). OTHERWISE, USE A NULL |

| DISPLAY. DISPLAY ‘PROVIDER’ IF PV01 IS CODED ‘1’ |

| (PERSON). DISPLAY ‘FACILITY’ IF PV01 IS CODED ‘2’|

| (FACILITY). DISPLAY ‘NAME AND’ IF ‘ADD PROVIDER’ |

| WAS SELECTED AT PV08 OR PV08 WAS NOT ASKED. |

| IF ‘ADD PROVIDER’ WAS SELECTED AT PV08 OR |

| PV08 WAS NOT ASKED, THE CONTEXT HEADER WILL NOT |

| DISPLAY THE NAME OF THE MEDICAL CARE PROVIDER. |

| THE CONTEXT HEADER WILL DISPLAY THE NAME OF THE |

| PROVIDER(S) ASSOCIATED WITH THE EVENT ONLY IF PV09|

| WAS CODED ‘2’ (ADD NEW ADDRESS FOR FACILITY). |

----------------------------------------------------

| CODES '-7' (REF) AND '-8' (DK) ARE ALLOWED ON |

| THE STREET ADDRESS FIELDS ONLY. |

----------------------------------------------------

| IF PV09 IS CODED '2' (ADD NEW ADDRESS FOR |

| FACILITY), PV10 WILL NOT COLLECT THE FACILITY |

| NAME. THE NEW PROVIDER RECORD FOR THIS FACILITY |

| WAS ALREADY CREATED AT PV09 AND THE ADDRESS WILL |

| BE RECORDED AT PV10. |

----------------------------------------------------

| IF FACILITY-PROVIDER NOT SELECTED AT PV08 (I.E., |

| PV08 WAS NOT ASKED OR ‘NONE OF THE ABOVE’ WAS |

| SELECTED), ADD A FACILITY-PROVIDER TO THE |

| RU-MEDICAL-PROVIDERS-ROSTER. FLAG NEW PROVIDER AS |

| FACILITY (PROVTYPE=1). |

| |

| IF PV01 IS CODED ‘1’ (PERSON), LINK THE FACILITY |

| TO THE PERSON-TYPE-PROVIDER FLAGGED AS |

| ‘PERSON-IN-FACILITY-PROVIDER’. |

----------------------------------------------------

PV11

====

OMITTED.

BOX_02

======

----------------------------------------------------

| RETURN TO QUESTIONNAIRE SECTION FROM WHICH THE |

| PROVIDER ROSTER (PV) SECTION WAS CALLED. |

----------------------------------------------------

11-13

File Type	application/msword
File Title	MEPS Provider Roster - P12R5/P13R3/P14R1
Subject	PV Section Item Specifications
Author	Agency for Healthcare Research and Quality
Last Modified By	wcarroll
File Modified	2009-07-10
File Created	2009-07-10