Medicare Advantage and Medicare Fee-For-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey (CMS-R-246)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CMS-R-246 Medicare Advantage Plan Survey	Form and Instruction	Modified	Available
Form CMS-R-246 Medicare Advantage Prescription Drug Survey	Form and Instruction	Modified	Available
Form CMS-R-246 Prescription Drug Plan Survey	Form and Instruction	Modified	Available
Form CMS-R-246 Medicare Fee-For-Service CAHPS Survey	Form and Instruction	Modified	Available
Form CMS-R-246 MA-PD Survey	Form and Instruction	Modified	Available
Form CMS-R-246 MA-only Survey	Form and Instruction	Modified	Available
Response to Comments to OMB MCAHPS.DOC	Supplementary Document	Uploaded 2015-06-03	Available
CMS-R-246 - Supporting Statement B [rev 5-8-2015 by OSORA PRA].doc	Supporting Statement B	Uploaded 2015-06-03	Available
CMS-R-246 - Supporting Statement A [rev 6-02-2015 by OSORA PRA].doc	Supporting Statement A	Uploaded 2015-06-03	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
8404	Medicare Advantage Surveys	Form and Instruction	Modified	Medicare Advantage Plan Survey
8404	Medicare Advantage Surveys	Form and Instruction	Modified	Medicare Advantage Prescription Drug Survey
194258	Prescription Drug Plan Survey	Form and Instruction	Modified	Prescription Drug Plan Survey
194257	Medicare Fee-For-Service CAHPS Survey	Form and Instruction	Modified	Medicare Fee-For-Service CAHPS Survey
194256	MA and PDP Contracts	Form and Instruction	Modified	MA-PD Survey
194256	MA and PDP Contracts	Form and Instruction	Modified	MA-only Survey

ICR Details

OMB Control No: 0938-0732	ICR Reference No: 201505-0938-006
Status: Historical Active	Previous ICR Reference No: 201110-0938-001
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Medicare Advantage and Medicare Fee-For-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey (CMS-R-246)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/07/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/04/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2018	36 Months From Approved	07/31/2015
Responses	800,249	0	598,809
Time Burden (Hours)	310,086	0	249,441
Cost Burden (Dollars)	2,995,000	0	3,045,000

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Abstract: 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.

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Authorizing Statute(s): PL: Pub.L. 108 - 173 1860D Name of Law: Information to Facilitate Enrollment
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 73891	12/12/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 26568	05/08/2015
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
MA and PDP Contracts	CMS-R-246, CMS-R-246	MA-only Survey ,   MA-PD Survey
Medicare Advantage Surveys	CMS-R-246, CMS-R-246	Medicare Advantage Prescription Drug Survey ,   Medicare Advantage Plan Survey
Medicare Fee-For-Service CAHPS Survey	CMS-R-246	Medicare Fee-For-Service CAHPS Survey
Prescription Drug Plan Survey	CMS-R-246	Prescription Drug Plan Survey

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	800,249	598,809	0	0	201,440	0
Annual Time Burden (Hours)	310,086	249,441	0	0	60,645	0
Annual Cost Burden (Dollars)	2,995,000	3,045,000	0	-50,000	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: On average, the burden to Medicare beneficiaries has not changed to complete a CAHPS survey: MA burden is 0.4 hour and the stand-alone PDP and FFS survey burdens are 0.25 and 0.3 hours, respectively. The number of respondents has gone up by approximately 201,450 respondents (mostly due to increases in the FFS sample to support refined comparisons with MA), and the number of contracts has gone down by approximately 10, so the total survey burden has increased by approximately 60,645 hours. The burden to MA and PDP contracts is 54 hours each, or a total of 32,346 hours across the 599 plans; this is a decrease of approximately 540 hours.

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Annual Cost to Federal Government: $6,000,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/04/2015

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