CMS-10488 - Change Request

Justification of Non-material Change

(0938-1221)

We request approval of the following revisions to the psychometric testing component of the QHP Enrollee Survey:

• Due to lack of reliable, complete enrollment data, in CCIIO data systems, (e.g. paid first premium; remained enrolled for 5 months minimum from February through July of 2014), we must use an oversampling approach and increase the initial sample size (from 14,000 to 23,380 sampled persons to yield 4,200 respondents) to account for the fact that some percentage of enrollees will not meet our eligibility requirements.

• Since we will not know who in the sample is eligible, Q1 is revised and two additional screener questions are added so that they can serve as a screener question that identifies ineligibles and directs them to not complete the survey; conversely, the screener will identify eligibles and direct them to continue on and complete the survey.

• The attached Supporting Statements and QHP Enrollee Survey instrument, including the goals of the psychometric testing, have been revised accordingly to reflect the revised sampling approach and delayed data collection and analysis timelines.

• We request approval ASAP because the sampling data must be provided to the survey vendor at the end of July 2014 to ensure the necessary programming changes are made to administer the survey

We will be submitting an additional change request(s) to obtain OMB approval of the beta test component of the QHP Enrollee Survey and the Marketplace Survey.

07/29/2014