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

ICR 202305-0938-001

OMB: 0938-0732

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-R-246 Medicare Advantage (MA) Survey Form and Instruction	Modified
Form CMS-R-246 MA-PDP Survey Form and Instruction	Modified
Form CMS-R-246 Fee-For-Service (FFS) Survey Form and Instruction	Modified
CMS-R-246 MCAHPS Supporting Statement A.docx Supporting Statement A	2023-05-04
CMS-R-246 MCAHPS Supporting Statement B.docx Supporting Statement B	2023-05-03
MCAHPS - Crosswalk 2023-1-26.pdf Supplementary Document	2023-05-03
CMS Response to Public Comments Received for CMS-R-246_60 Day 04 12 2023 clean.docx Supplementary Document	2023-05-03

IC Document Collections

IC ID	Document Title	Status
8404	Medicare Advantage (MA) Survey Form and Instruction	Modified
194258	MA-PDP Survey Form and Instruction	Modified
194257	Fee-For-Service (FFS) Survey Form and Instruction	Modified