Document Name Document Type
Form CMS-P-0015A Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A) Form
CMS-P-0015A Cost Payment Summary 2018_Cost_Payment_Summary_CPS.pdf Form
CMS-P-0015A Demographic Income 2018_Demographics_Income_DIQ.pdf Form
CMS-P-0015A End Questionaire 2018_End_END.pdf Form
CMS-P-0015A Enumeration Summary 2018_Enumeration_Summary_ENS.pdf Form
CMS-P-0015A Home Health Summary 2018_Home_Health_Summary_HHS.pdf Form
CMS-P-0015A nterviewer Remarks 2018_Interviewer_Remarks_IRQ.pdf Form
CMS-P-0015A Mobility of Beneficiaries 2018_Mobility_MBQ.pdf Form
CMS-P-0015A Post Statement Cost 2018_Post_Statement_Cost_PSQ.pdf Form
CMS-P-0015A Access to Care 2019_Access_to_Care_ACQ.pdf Form
CMS-P-0015A Chronic Pain 2019_Chronic_Pain_CPQ.pdf Form
CMS-P-0015A Dental, Vision, and Hearing Care Utilization 2019_Dental_Vision_Hearing_Util_DVH.pdf Form
CMS-P-0015A Drug Coverage 2019_Drug_Coverage_RXQ.pdf Form
CMS-P-0015A Emergency Utilization 2019_Emergency_Utilization_ERQ.pdf Form
CMS-P-0015A Health Insurance 2019_Health_Insurance_HIQ.pdf Form
CMS-P-0015A Home Health 2019_Home_Health_Util_HHQ.pdf Form
CMS-P-0015A Housing_Characteristics 2019_Housing_Charcs_HAQ.pdf Form
CMS-P-0015A Income_and_ Assets 2019_Income_and_ Assets_IAQ.pdf Form
CMS-P-0015A Inpatient Utilization 2019_Inpatient_Utilization_IPQ.pdf Form
CMS-P-0015A Institutional Utilization 2019_Institutional_Util_IUQ.pdf Form
CMS-P-0015A Introduction 2019_Introduction_INQ.pdf Form
CMS-P-0015A Medical Provider Utilzation 2019_Medical_Provider_Util_MPQ.pdf Form
CMS-P-0015A Nicotine Alcohol 2019_Nicotine_Alcohol_Use_NAQ.pdf Form
CMS-P-0015A No Statement Cost 2019_No_Statement_Cost_NSQ.pdf Form
CMS-P-0015A Other Medical Expense 2019_Other_Medical_Expenses_OMQ.pdf Form
CMS-P-0015A Outpatient Utilization 2019_Outpatient_Util_OPQ.pdf Form
CMS-P-0015A Prescribed Medicine Utilization 2019_Prescribed_Med_Util_PMQ.pdf Form
CMS-P-0015A Satisfaction Care 2019_Satisfacation_Care_SCQ.pdf Form
CMS-P-0015A Statement Cost Series 2019_Statement_Cost_Series_STQ.pdf Form
CMS-P-0015A Beneficiary Knowledge 2020_Beneficiary_Knowledge_KNQ.pdf Form
CMS-P-0015A Preventive Care 2020_Preventive_Care_PVQ.pdf Form
CMS-P-0015A Usual Source of Care 2020_Usual_Source_Of_Care_USQ.pdf Form
CMS-P-0015A Showcards and Reference Cards 2020CommShowcards.pdf Form
CMS-P-0015A Facility Showcards 2018FacilityShowcards508.pdf Form
CMS-P-0015A Facility Screener Fac2018_Facility_Screener_FACSCREEN.pdf Form
CMS-P-0015A Residence History Missing Data Fac2018_Residence_History_Missing_Data_RHM.pdf Form
CMS-P-0015A Residence History Fac2018_Residence_History_RH.pdf Form
CMS-P-0015A Use of Health Services Fac2018_Use_of_Health_Services_US.pdf Form
CMS-P-0015A Background_Questionnaire Fac2019_Background_Questionnaire_BQ.pdf Form
CMS-P-0015A Background_Questionnaire MIssing Data Fac2019_Background_Questionnaire_Missing_Data_BQM.pdf Form
CMS-P-0015A Expenditures Fac2019_Expenditures_EX.pdf Form
CMS-P-0015A Questionaire Missing Data Fac2019_Facility_Questionnaire_Missing_Data_FQM.pdf Form
CMS-P-0015A Questionaire Fac2019_Facility_Questionnaire_FQ.pdf Form
CMS-P-0015A Health_Insurance Fac2019_Health_Insurance_IN.pdf Form
CMS-P-0015A Health_Status Fac2019_Health_Status_HS.pdf Form
CMS-P-0015A Health Status Attachment A - R88 HFQ.PDF Form
Summary of Questionnaire Changes_OMB Passback.pdf Crosswalk IC Document

            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.