Table of Contents

TOC_Revised_Package_Attachments_07252012.pdf

Medicare Health Outcomes Survey (HOS) and Supporting Regulations at 42 CFR 422.152

Table of Contents

OMB: 0938-0701

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Medicare Health Outcomes Survey
Attachments

Attachment 1: Federal Register Notice
Attachment 2: Publications
Attachment 3: Response Rate Table
Attachment 4: Medicare HOS 2013 Questionnaire (English) – REVISED
Attachment 5: Mailing Material Associated with Medicare HOS (English and Spanish)
Attachment 6: Medicare HOS-Modified 2013 Questionnaire (English)
Attachment 7: Mailing Material Associated with Medicare HOS-Modified (English)
Attachment 8: Covariates Used in the Case Mix Adjustment of PCS and MCS Measures
Attachment 9: Supporting Statement–Part A – REVISED
Attachment 10: Supporting Statement–Part B – REVISED
Attachment 11: CMS-10203 Response to Public Comments
Attachment 12: CMS-10203 Crosswalk (changes following 60 day comment period)

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File Typeapplication/pdf
File TitleMedicare Health Outcomes Survey
AuthorCMS
File Modified2012-07-26
File Created2012-07-26

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