Information Collection Request

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

ICR 202505-0938-018 · OMB 0938-0732 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form CMS-R-246 Medicare Advantage Plan Survey - Vietnamese Form and Instruction Modified Repair queued
Form CMS-R-246 Medicare Advantage Plan Survey - Tagalog Form and Instruction Modified Available
Form CMS-R-246 Medicare Advantage Plan Survey - Spanish Form and Instruction Modified Available
Form CMS-R-246 Medicare Advantage Plan Survey - Korean Form and Instruction Modified Available
Form CMS-R-246 Medicare Advantage Plan Survey - Chinese Form and Instruction Modified Repair queued
Form CMS-R-246 Medicare Advantage Plan Survey Form and Instruction Modified Available
Form CMS-R-246 Medicare Advantage (MA) Survey Form and Instruction Modified Repair queued
Form CMS-R-246 Prescription Drug Plan Survey - English Form and Instruction Modified Repair queued
Form CMS-R-246 Prescription Drug Plan Survey - Vietnamese Form and Instruction Modified Available
Form CMS-R-246 Medicare Advantage and Prescription Drug Plan Survey - Vietnamese Form and Instruction Modified Repair queued
Form CMS-R-246 Prescription Drug Plan Survey - Tagalog Form and Instruction Modified Available
Form CMS-R-246 Medicare Advantage and Prescription Drug Plan Survey - Tagalog Form and Instruction Modified Available
Form CMS-R-246 Prescription Drug Plan Survey - Spanish Form and Instruction Modified Available
Form CMS-R-246 Medicare Advantage and Prescription Drug Plan Survey - Spanish Form and Instruction Modified Repair queued
Form CMS-R-246 Prescription Drug Plan Survey - Korean Form and Instruction Modified Available
Form CMS-R-246 Medicare Advantage and Prescription Drug Plan Survey - Korean Form and Instruction Modified Available
Form CMS-R-246 Prescription Drug Plan Survey - Chinese Form and Instruction Modified Available
Form CMS-R-264 Medicare Advantage and Prescription Drug Plan Survey - Chinese Form and Instruction Modified Available
Form CMS-R-246 Medicare Advantage and Prescription Drug Plan (MA & PDP) CAHPS Survey Form and Instruction Modified Repair queued
Form CMS-R-246 MA-PDP Survey Form and Instruction Modified Repair queued
Form CMS-R-246 Fee-For-Service (FFS) Survey Form and Instruction Modified Available
Form CMS-R-246 Fee-For-Service (FFS) Survey Form and Instruction Modified Available
CMS-R-246_ MCAHPS Supporting Statement A 2025 Non-Sub .docx Supporting Statement A Uploaded 2025-06-05 Repair queued
CMS-R-246_ MCAHPS Supporting Statement A 2025 Non-Sub .docx Supporting Statement A Uploaded 2025-06-05 Repair queued
CMS-R-246 - Non-Sub Change Request Memo - June 4 2025.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-06-05 Repair queued
CMS-R-246 - Non-Sub Change Request Memo - June 4 2025.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-06-05 Repair queued
MCAHPS - Crosswalk 2025-6-4.xlsx Supplementary Document Uploaded 2025-06-05 Available
MCAHPS - Crosswalk 2025-6-4.xlsx Supplementary Document Uploaded 2025-06-05 Available
CMS-R-246_MCAHPS Supporting Statement B.docx Supporting Statement B Uploaded 2024-06-21 Repair queued
CMS-R-246_MCAHPS Supporting Statement B.docx Supporting Statement B Uploaded 2024-06-21 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
8404 Medicare Advantage (MA) Survey Form and Instruction ModifiedMedicare Advantage Plan Survey - Vietnamese
8404 Medicare Advantage (MA) Survey Form and Instruction ModifiedMedicare Advantage Plan Survey - Tagalog
8404 Medicare Advantage (MA) Survey Form and Instruction ModifiedMedicare Advantage Plan Survey - Spanish
8404 Medicare Advantage (MA) Survey Form and Instruction ModifiedMedicare Advantage Plan Survey - Korean
8404 Medicare Advantage (MA) Survey Form and Instruction ModifiedMedicare Advantage Plan Survey - Chinese
8404 Medicare Advantage (MA) Survey Form and Instruction ModifiedMedicare Advantage Plan Survey
8404 Medicare Advantage (MA) Survey Form and Instruction Modified
194258 MA-PDP Survey Form and Instruction ModifiedPrescription Drug Plan Survey - English
194258 MA-PDP Survey Form and Instruction ModifiedPrescription Drug Plan Survey - Vietnamese
194258 MA-PDP Survey Form and Instruction ModifiedMedicare Advantage and Prescription Drug Plan Survey - Vietnamese
194258 MA-PDP Survey Form and Instruction ModifiedPrescription Drug Plan Survey - Tagalog
194258 MA-PDP Survey Form and Instruction ModifiedMedicare Advantage and Prescription Drug Plan Survey - Tagalog
194258 MA-PDP Survey Form and Instruction ModifiedPrescription Drug Plan Survey - Spanish
194258 MA-PDP Survey Form and Instruction ModifiedMedicare Advantage and Prescription Drug Plan Survey - Spanish
194258 MA-PDP Survey Form and Instruction ModifiedPrescription Drug Plan Survey - Korean
194258 MA-PDP Survey Form and Instruction ModifiedMedicare Advantage and Prescription Drug Plan Survey - Korean
194258 MA-PDP Survey Form and Instruction ModifiedPrescription Drug Plan Survey - Chinese
194258 MA-PDP Survey Form and Instruction ModifiedMedicare Advantage and Prescription Drug Plan Survey - Chinese
194258 MA-PDP Survey Form and Instruction ModifiedMedicare Advantage and Prescription Drug Plan (MA & PDP) CAHPS Survey
194258 MA-PDP Survey Form and Instruction Modified
194257 Fee-For-Service (FFS) Survey Form and Instruction ModifiedFee-For-Service (FFS) Survey
194257 Fee-For-Service (FFS) Survey Form and Instruction Modified
ICR Details
0938-0732 202505-0938-018
Active 202504-0938-008
HHS/CMS CM-CPC
Medicare Advantage, Medicare Part D, and Medicare Fee-For-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey (CMS-R-246)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 07/01/2025
Retrieve Notice of Action (NOA) 06/17/2025
  Inventory as of this Action Requested Previously Approved
11/30/2027 11/30/2027 11/30/2027
794,500 0 794,500
192,265 0 192,265
0 0 0

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.

PL: Pub.L. 108 - 173 1860D Name of Law: Information to Facilitate Enrollment
  
None

Not associated with rulemaking

  89 FR 24008 04/05/2024
89 FR 53107 06/25/2024
Yes

  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 794,500 794,500 0 0 0 0
Annual Time Burden (Hours) 192,265 192,265 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$7,000,000
Yes Part B of Supporting Statement
    Yes
    Yes
No
No
No
No
Stephan McKenzie 410 786-1943 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
06/17/2025