Mooderator's Guide Crosswalk

OMB Control Number: 0938-1300 CMS-10615
HIP 2.0 Beneficiary Focus Group Moderator's Guide
Moderator's Guide Section	Moderator's Guide Question	Moderator's Guide Question #	New Moderator's Guide Section/Question	Moderator's Guide Section	Moderator's Guide Question #	Edited?	Changes	Justification
Monthly Contributions and Cost Sharing	Have you heard of POWER accounts? Tell me what those are for, and how they work.	27	N/A	N/A	N/A	N	N/A	N/A
			Have you ever been asked or required to use your POWER account to pay for preventive services, such as flu shot, annual checkups (including well-woman exams), family planning services, prenatal care, blood pressure checks, and cholesterol screenings?	Monthly Contributions and Cost Sharing	27	Y	New Probe added	In response to public comment, new probe was added to Question 27 to explore whether beneficiaries were ever asked or required to use POWER account to pay for preventive services, and if so, by whom and whether it affected access to care.
			If yes, who asked you to use your POWER account to pay for these services?	Monthly Contributions and Cost Sharing	27	Y	New Probe added
			And did this request affect your access to preventive care in any way? (For example, did you forego or delay obtaining preventive services because of the cost?)	Monthly Contributions and Cost Sharing	27	Y	New Probe added
Access to Care and Benefits	Have you received preventive care (like health check- ups or immunizations) more frequently now, with HIP 2.0, than you did in the past? If yes, can you tell me why? How does that feel?	30	Have you received preventive care (like health check- ups, well-woman exams, or immunizations) more frequently now, with HIP 2.0, than you did in the past? If yes, can you tell me why? How does that feel?	Access to Care and Benefits	30	Y	Added "well-woman exams"	In response to public comment, question was revised to specifically identify well-woman exams as a service included within the definition of "preventive services."