Crosswalk

DRAFT MCAHPS - Crosswalk 2025-2-19.xlsx

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

Crosswalk

OMB: 0938-0732

Document [xlsx]
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Overview

FFS Survey
MA-PD Survey
MA-Only Survey


Sheet 1: FFS Survey

Existing Question (2025) Proposed Question (2025) Type of Change Reason for Change Burden Change
49. In the last 6 months, did anyone from a clinic, emergency room, or doctor’s office where you got care treat you in an unfair or insensitive way because of any of the following things about you?
49a. Health condition
49b. Disability
49c. Age
49d. Culture or religion
49e. Language or accent
49f. Race or ethnicity
49g. Sex (female or male)
49h. Sexual orientation
49i. Gender or gender identity
49j. Income"
49. In the last 6 months, did anyone from a clinic, emergency room, or doctor’s office where you got care treat you in an unfair or insensitive way because of any of the following things about you?
49a. Health condition
49b. Disability
49c. Age
49d. Culture or religion
49e. Language or accent
49f. Race or ethnicity
49g. Sex (female or male)
49h. Sexual orientation
49i. Gender or gender identity
49jh. Income"
Removing response option "sexual orientation" and "gender or gender identity" Executive Order 14168, “Defending Women From Gender Ideology Extremism and Restoring Biological Truth to the Federal Government” No

Sheet 2: MA-PD Survey

Existing Question (2025) Proposed Question (2025) Type of Change Reason for Change Burden Change
52. In the last 6 months, did anyone from a clinic, emergency room, or doctor’s office where you got care treat you in an unfair or insensitive way because of any of the following things about you?
52a. Health condition
52b. Disability
52c. Age
52d. Culture or religion
52e. Language or accent
52f. Race or ethnicity
52g. Sex (female or male)
52h. Sexual orientation
52i. Gender or gender identity
52j. Income
52. In the last 6 months, did anyone from a clinic, emergency room, or doctor’s office where you got care treat you in an unfair or insensitive way because of any of the following things about you?
52a. Health condition
52b. Disability
52c. Age
52d. Culture or religion
52e. Language or accent
52f. Race or ethnicity
52g. Sex (female or male)
52h. Sexual orientation
52i. Gender or gender identity
52jh. Income
Removing response option "sexual orientation" and "gender or gender identity" Executive Order 14168, “Defending Women From Gender Ideology Extremism and Restoring Biological Truth to the Federal Government” No

Sheet 3: MA-Only Survey

Existing Question (2024) Proposed Question (2025) Type of Change Reason for Change Burden Change
47. In the last 6 months, did anyone from a clinic, emergency room, or doctor’s office where you got care treat you in an unfair or insensitive way because of any of the following things about you?
47a. Health condition
47b. Disability
47c. Age
47d. Culture or religion
47e. Language or accent
47f. Race or ethnicity
47g. Sex (female or male)
47h. Sexual orientation
47i. Gender or gender identity
47j. Income
47. In the last 6 months, did anyone from a clinic, emergency room, or doctor’s office where you got care treat you in an unfair or insensitive way because of any of the following things about you?
47a. Health condition
47b. Disability
47c. Age
47d. Culture or religion
47e. Language or accent
47f. Race or ethnicity
47g. Sex (female or male)
47h. Sexual orientation
47i. Gender or gender identity
47jh. Income
Removing response option "sexual orientation" and "gender or gender identity" Executive Order 14168, “Defending Women From Gender Ideology Extremism and Restoring Biological Truth to the Federal Government” No
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