Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A)

Medicare Current Beneficiary Survey (MCBS) (CMS-P-0015A)

Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A)

OMB: 0938-0568

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2024 MCBS Community Questionnaire

Variable Name

MR Screen Name

Question Type

ACQ-ACCESS TO CARE

Question Text/Description

Code List

Routing

ACCESS TO CARE QUESTIONNAIRE SPECIFICATIONS
CRITERIA
INTTYPE=C001, C002, C004, C005, C006, C007
SPALIVE=1
SEASON= WINTER
SPPROXY=SP or PROXY
Other: N/A
PLACEMENT
Administer after MPQ.

BOX AC1AA

routing

IF INTTYPE=7 AND VIEW_MCBSCOMM_PRELOAD.NEWLY_ELIGIBLE NE 1 AND (SP DID NOT HAVE ER
VISIT IN CURRENT ROUND AND AC6A NOT ALREADY ASKED), GO TO ACINTRO - ACINT.
ELSE IF (SP HAD AN ER VISIT IN THE CURRENT ROUND OR ANY OF THE 2 PREVIOUS ROUNDS) AND
(AC6A NOT ALREADY ASKED), GO TO AC6A - EWAITUNT.
ELSE GO TO BOX AC1C.

ACINT

ACINTRO

no entry

The next questions are about health care services [you/(SP)] may have used since [TODAY’S MONTH YEAR-12
MONTHS].

ERVISIT

AC1

yes/no

Since [TODAY’S MONTH YEAR-12 MONTHS], did [you/(SP)] go to a hospital emergency room?

(00) BOX AC1C.
(01) AC6A - EWAITHRS
(02) AC6A - EWAITMIN
(03) AC6A - EWAITHRS
(-8) BOX AC1C
(-9) BOX AC1C

AC1 - ERVISIT
(01) YES
(02) NO
(-8) Don't Know
(-9) Refused

(01) AC6A - EWAITUNT
(02) BOX AC1C
(-8) BOX AC1C
(-9) BOX AC1C

EWAITUNT

AC6A

code one

(00) DID NOT HAVE TO WAIT
(01) HOURS ONLY
Think about the most recent time [you/(SP)] went to the hospital emergency room. How long did [you/(SP)] have to
(02) MINUTES ONLY
wait during [your/(SP)'s] visit before [you/(SP)] saw a doctor or some other medical person? Please include the
(03) HOURS AND MINUTES
time spent in the waiting room and exam room.
(-8) Don't Know
(-9) Refused

EWAITHRS

AC6A

numeric

Think about the most recent time [you/(SP)] went to the hospital emergency room. How long did [you/(SP)] have to
wait during [your/(SP)'s] visit before [you/(SP)] saw a doctor or some other medical person? Please include the
(01) continuous answer
time spent in the waiting room and exam room.

If AC6A - EWAITUNT = 3/HoursAndMinutes, go to AC6A EWAITMIN.
Else go to BOX AC1C.

EWAITMIN

AC6A

numeric

Think about the most recent time [you/(SP)] went to the hospital emergency room. How long did [you/(SP)] have to
wait during [your/(SP)'s] visit before [you/(SP)] saw a doctor or some other medical person? Please include the
(01) continuous answer
time spent in the waiting room and exam room.

BOX AC1C

routing

IF AC6A ASKED WHILE ADMINISTERING ER, GO TO BOX ER6.
ELSE IF INTTYPE=7 AND VIEW_MCBSCOMM_PRELOAD.NEWLY_ELIGIBLE NE 1 AND (SP DID NOT HAVE
OP VISIT IN CURRENT ROUND AND AC16A NOT ALREADY ASKED), GO TO AC8 - OPDVISIT.
ELSE IF (SP HAD AN OP VISIT IN THE CURRENT ROUND OR ANY OF THE 2 PREVIOUS ROUNDS) AND (AC9AC16A NOT ALREADY ASKED), GO TO AC9 - OPDREAS.
ELSE GO TO BOX AC1E.

BOX AC1C

Page 1 of 8

2024 MCBS Community Questionnaire

Variable Name

Question Text/Description

Code List

Routing

Since [TODAY’S MONTH YEAR-12 MONTHS], did [you/(SP)] go to a hospital clinic or outpatient department?
DO NOT INCLUDE HOSPITAL INPATIENT STAYS.

(01) YES
(02) NO
(-8) Don't Know
(-9) Refused

(01) AC9 - OPDREAS
(02) BOX AC1E
(-8) BOX AC1E
(-9) BOX AC1E

CHECK ALL THAT APPLY.

(01) MEDICAL CONDITION NAMED
(02) TESTS
(03) FOLLOW-UP
(04) CHECKUP
(05) REFERRAL
(06) SURGERY
(07) PREVENTIVE SHOT
(08) TREATMENT SHOT
(09) TO GET OR REFILL PRESCRIPTION
(91) OTHER
(-8) Don't Know
(-9) Refused

(01) BOX AC1D
(02) BOX AC1D
(03) BOX AC1D
(04) BOX AC1D
(05) BOX AC1D
(06) BOX AC1D
(07) BOX AC1D
(08) BOX AC1D
(09) BOX AC1D
(91) AC9 - OPDOTHOS
(-8) BOX AC1D
(-9) BOX AC1D

verbatim text

OTHER (SPECIFY)

(01) continuous answer

BOX AC1D

BOX AC1D

routing

IF (INTTYPE=7 AND VIEW_MCBSCOMM_PRELOAD.NEWLY_ELIGIBLE NE 1 AND SP DID NOT REPORT
OUTPATIENT DEPARTMENT VISIT AT OP4) AND (RESPONSE TO AC9 - OPDREAS INCLUDES
1/MedCondNamed OR 6/Surgery), GO TO AC12 - OPDAPPT.
ELSE IF INTTYPE=7 AND VIEW_MCBSCOMM_PRELOAD.NEWLY_ELIGIBLE NE 1 AND SP DID NOT REPORT
OUTPATIENT DEPARTMENT VISIT AT OP4) AND (RESPONSE TO AC9 - OPDREAS DOES NOT INCLUDE
1/MedCondNamed AND DOES NOT INCLUDE 6/Surgery), GO TO AC10 - OPDSCOND.
ELSE GO TO AC12 - OPDAPPT.

OPDSCOND

AC10

yes/no

Was that for a specific condition?

(01) YES
(02) NO
(-8) Don't Know
(-9) Refused

AC12 - OPDAPPT

OPDAPPT

AC12

code one

Did [you/(SP)] have an appointment for this visit to the hospital clinic or outpatient department, or did [you/(SP)]
just walk in?

(01) APPOINTMENT
(02) WALKED IN
(-8) Don't Know
(-9) Refused

(01) AC13 - OPDDRTEL
(02) AC16A - HWAITUNT
(-8) AC16A - HWAITUNT
(-9) AC16A - HWAITUNT

code one

(01) SOMEONE MADE APPOINTMENT DURING
EARLIER VISIT
(02) SP CONTACTED OFFICE TO SET UP
APPOINTMENT
(03) DOCTOR'S OFFICE CONTACTED SP TO SET UP
Did someone make this appointment during an earlier visit, or did [you/(SP)] contact the hospital clinic or outpatient
APPOINTMENT
department to set up the appointment ?
(-8) Don't Know
(-9) Refused

OPDVISIT

MR Screen Name

AC8

Question Type

ACQ-ACCESS TO CARE

yes/no

[I have a few more questions about visits that [you/(SP)] had in the past.]

OPDREAS

AC9

code all

Think about the most recent time [you/(SP)] went to a hospital clinic or outpatient department. What was the
reason [you/(SP)] went to the hospital clinic or outpatient department?
[PROBE FOR THE MOST RECENT VISIT IF RESPONDENT MENTIONS MORE THAN ONE. IF NEEDED,
PROBE WITH ‘What did you have done during your most recent visit to the hospital clinic or outpatient
department?’ SELECT ALL THAT APPLY.]
[PROBE: Any other reason?]
THE MOST RECENT VISIT CAN BE OUTSIDE OF THE REFERENCE PERIOD USED IN OTHER SECTIONS

OPDOTHOS

OPDDRTEL

AC9

AC13

We are interested in knowing how the appointment was made for the visit to the hospital clinic or outpatient
department you just told me about.

How long did [you/(SP)] have to wait for the appointment -- about how many days, weeks, or months?
OPDAWUNT

AC14

code one

WE ARE ASKING HOW MUCH TIME PASSED BETWEEN THE FIRST CONTACT FOR SETTING THE
APPOINTMENT AND THE ACTUAL DATE OF THE APPOINTMENT

(00) DID NOT HAVE TO WAIT
(01) DAYS
(02) WEEKS
(03) MONTHS
(-8) Don't Know
(-9) Refused

(01) AC14 - OPDAWUNT
(02) AC14 - OPDAWUNT
(03) AC14 - OPDAWUNT
(-8) AC16A - HWAITUNT
(-9) AC16A - HWAITUNT

(00) AC16A - HWAITUNT
(01) AC14 - OPDAWDAY
(02) AC14 - OPDAWWKS
(03) AC14 - OPDAWMOS
(-8) AC16A - HWAITUNT
(-9) AC16A - HWAITUNT

Page 2 of 8

2024 MCBS Community Questionnaire

ACQ-ACCESS TO CARE

Variable Name

MR Screen Name

Question Type

Question Text/Description

Code List

Routing

OPDAWDAY

AC14

numeric

How long did [you/(SP)] have to wait for the appointment -- about how many days, weeks, or months?

(01) continuous answer

AC16A - HWAITUNT

OPDAWWKS

AC14

numeric

How long did [you/(SP)] have to wait for the appointment -- about how many days, weeks, or months?

(01) continuous answer

AC16A - HWAITUNT

OPDAWMOS

AC14

numeric

How long did [you/(SP)] have to wait for the appointment -- about how many days, weeks, or months?

(01) continuous answer

AC16A - HWAITUNT

(00) DID NOT HAVE TO WAIT
(01) HOURS ONLY
(02) MINUTES ONLY
(03) HOURS AND MINUTES
(-8) Don't Know
(-9) Refused

(00) BOX AC1E
(01) AC16A - HWAITHRS
(02) AC16A - HWAITMIN
(03) AC16A - HWAITHRS
(-8) BOX AC1E
(-9) BOX AC1E

(01) continuous answer

If AC16A - HWAITUNT = 3/HoursAndMinutes, go to
AC16A - HWAITMIN
Else go to BOX AC1E.

(01) continuous answer

BOX AC1E

[Think about the most recent time [you/(SP)] went to a hospital clinic or outpatient department.]
HWAITUNT

AC16A

code one

How long did [you/(SP)] have to wait [beyond [your/(SP's)] appointment time] during [your/(SP)'s] most recent visit
before [you/(SP)] saw a doctor or some other medical person? Please include the time spent in the waiting room
and exam room.

[Think about the most recent time [you/(SP)] went to a hospital clinic or outpatient department.]
HWAITHRS

AC16A

numeric

AC16A

numeric

How long did [you/(SP)] have to wait [beyond [your/(SP's)] appointment time] time during [your/(SP)] most recent
visit before [you/(SP)] saw a doctor or some other medical person? Please include the time spent in the waiting
room and exam room.

[Think about the most recent time [you/(SP)] went to a hospital clinic or outpatient department.]
HWAITMIN

How long did [you/(SP)] have to wait [beyond [your/(SP's)] appointment time] during [your/(SP)'s] most recent visit
before [you/(SP)] saw a doctor or some other medical person? Please include the time spent in the waiting room
and exam room.

IF AC9-AC16A ASKED WHILE ADMINISTERING OP, GO TO BOX OP7.
ELSE IF BENEFICIARY IS IN THE SECOND ROUND BASELINE INTERVIEW (INTTYPE=7) AND
IS NON-NEWLY ELIGIBLE (VIEW_MCBSCOMM_PRELOAD.NEWLY_ELIGIBLE NE 1)
BOX AC1E

routing

AND [(SP DID NOT REPORT A MEDICAL PROVIDER VISIT AT MP6 WHERE (MP6B – MPSDVIS ^= 1/YES AND
PROVIDER’S SPECIALTY IS A MEDICAL DOCTOR)]
AND (AC20-AC28A1 NOT ALREADY ASKED), GO TO AC19-MDVISIT.
ELSE IF (SP HAD AN MP VISIT IN THE CURRENT ROUND OR ANY OF THE 2 PREVIOUS ROUNDS) AND
(AC20-AC28A1 NOT ALREADY ASKED), GO TO AC20 - DRSPCLTY
ELSE GO TO BOX AC1G.

Page 3 of 8

2024 MCBS Community Questionnaire

ACQ-ACCESS TO CARE

Variable Name

MR Screen Name

Question Type

Question Text/Description

Code List

Routing

MDVISIT

AC19

yes/no

Next, I want to ask about [your/(SP)’s] visits to doctors since [TODAY’S MONTH YEAR-12 MONTHS]. [Have
you/Has (SP)] seen a medical doctor since [TODAY’S MONTH YEAR-12 MONTHS]? Please do not include a
doctor seen at home, at an emergency room or outpatient department, or while an inpatient at a hospital.
[IF NECESSARY, SAY, ‘Please look at show card AC1 for examples of types of medical doctors.’]

(01) YES
(02) NO
(-8) Don't Know
(-9) Refused

(01) AC20 - DRSPCLTY
(02) BOX AC1G
(-8) BOX AC1G
(-9) BOX AC1G

(01) ALLERGY/IMMUNOLOGY
(02) ANESTHESIOLOGY
(03) CARDIOLOGY (HEART)
(04) DERMATOLOGY (SKIN)
(05) ENDOCRINOLOGY/METABOLISM
(DIABETES,THYROID)
(06) FAMILY PRACTICE
(07) GASTROENTEROLOGY
(08) GENERAL PRACTICE
(09) GENERAL SURGERY
(10) GERIATRICS (ELDERLY)
(11) GYNECOLOGY - OBSTETRICS
(12) HEMATOLOGY (BLOOD)
(13) HOSPITAL RESIDENCE
(14) INTERNAL MEDICINE (INTERNIST)
(15) NEPHROLOGY (KIDNEYS)
(16) NEUROLOGY
(17) NUCLEAR MEDICINE
(18) ONCOLOGY (TUMORS, CANCER)
(19) OPHTHALMOLOGY (EYES)
(20) ORTHOPEDICS
(21) OSTEOPATHY (DO)
(22) OTORHINOLARYNGOLOGY (EAR, NOSE,
THROAT)
(23) PAIN MANAGEMENT SPECIALIST
(24) PATHOLOGY
(25) PHYS MED/REHAB
(26) PHYSICIAN’S ASSISTANT
(27) PLASTIC SURGERY
(28) PODIATRIST
(29) PROCTOLOGY
(30) PSYCHIATRY/PSYCHIATRIST
(31) PULMONARY (LUNGS)
(32) RADIOLOGY
(33) RHEUMATOLOGY (ARTHRITIS)
(34) THORACIC SURGERY (CHEST)
(35) UROLOGY
(36) VASCULAR SURGEON/SPECIALIST
(37) AUDIOLOGIST
(38) CHIROPRACTOR
(39) DENTIST
(40) OPTOMETRIST
(41) PHYSICAL THERAPIST
(42) PSYCHOLOGIST
(43) NURSE PRACTITIONER
(91) OTHER DR SPECIALTY
(-8) Don't Know
(-9) Refused

(01) AC21 - MDREAS
(02) AC21 - MDREAS
(03) AC21 - MDREAS
(04) AC21 - MDREAS
(05) AC21 - MDREAS
(06) AC21 - MDREAS
(07) AC21 - MDREAS
(08) AC21 - MDREAS
(09) AC21 - MDREAS
(10) AC21 - MDREAS
(11) AC21 - MDREAS
(12) AC21 - MDREAS
(13) AC21 - MDREAS
(14) AC21 - MDREAS
(15) AC21 - MDREAS
(16) AC21 - MDREAS
(17) AC21 - MDREAS
(18) AC21 - MDREAS
(19) AC21 - MDREAS
(20) AC21 - MDREAS
(21) AC21 - MDREAS
(22) AC21 - MDREAS
(23) AC21 - MDREAS
(24) AC21 - MDREAS
(25) AC21 - MDREAS
(26) AC21 - MDREAS
(27) AC21 - MDREAS
(28) AC21 - MDREAS
(29) AC21 - MDREAS
(30) AC21 - MDREAS
(31) AC21 - MDREAS
(32) AC21 - MDREAS
(33) AC21 - MDREAS
(34) AC21 - MDREAS
(35) AC21 - MDREAS
(36) AC21 - MDREAS
(37) AC21 - MDREAS
(38) AC21 - MDREAS
(39) AC21 - MDREAS
(40) AC21 - MDREAS
(41) AC21 - MDREAS
(42) AC21 - MDREAS
(43) AC21 - MDREAS
(91) AC20 - MDSPCLOS
(-8) AC21 - MDREAS
(-9) AC21 - MDREAS

SHOW CARD AC1
[I have a few more questions about visits that [you/(SP)] had in the past.]

DRSPCLTY

AC20

code one

Think about the most recent time [you/(SP)] saw a medical doctor somewhere other than at home or at a hospital.
What was the doctor’s specialty?
[PROBE FOR RESPONDENT TO SELECT A CHOICE FROM THE CARD IF THEY MENTION A 'GENERIC'
SPECIALITY LIKE ‘HEART DOCTOR.’ IF RESPONDENT ONLY GIVES A 'GENERIC' SPECIALTY AND THE
GENERIC WORD IS SHOWN IN PARENTHESES FOLLOWING ONE OF THE RESPONSES, SELECT THE
RESPONSE CATEGORY FOR THAT SPECIALTY (E.G., 'CARDIOLOGY'). OTHERWISE SELECT 'OTHER DR
SPECIALTY'.]

Page 4 of 8

2024 MCBS Community Questionnaire

ACQ-ACCESS TO CARE

Variable Name

MR Screen Name

Question Type

Question Text/Description

Code List

Routing

MDSPCLOS

AC20

verbatim text

OTHER DR SPECIALTY (SPECIFY)

(01) continuous answer

AC21 - MDREAS

(01) MEDICAL CONDITION NAMED
(02) TESTS
(03) FOLLOW-UP
(04) CHECKUP
(05) REFERRAL
(06) SURGERY
(07) PREVENTIVE SHOT
(08) TREATMENT SHOT
(09) TO GET OR REFILL PRESCRIPTION
(91) OTHER
(-8) Don't Know
(-9) Refused

(01) BOX AC1F
(02) BOX AC1F
(03) BOX AC1F
(04) BOX AC1F
(05) BOX AC1F
(06) BOX AC1F
(07) BOX AC1F
(08) BOX AC1F
(09) BOX AC1F
(91) AC21 - MDOTHOS
(-8) BOX AC1F
(-9) BOX AC1F

(01) continuous answer

BOX AC1F

What was the reason [you/(SP)] saw the doctor?
MDREAS

AC21

code all

[PROBE: ‘What did you have done during the visit?’ IF RESPONDENT DOES NOT UNDERSTAND WHAT IS
BEING ASKED. PROBE: ‘Any other reason?’ TO OBTAIN ALL REASONS.]
CHECK ALL THAT APPLY.

MDOTHOS

AC21

verbatim text

OTHER (SPECIFY)

BOX AC1F

routing

IF THE BENEFICIARY IS IN THE SECOND ROUND BASELINE INTERVIEW (INTTYPE=7) AND IS NON-NEWLY
ELIGIBLE (VIEW_MCBSCOMM_PRELOAD.NEWLY_ELIGIBLE NE 1) AND [((SP DID NOT REPORT A MEDICAL
PROVIDER VISIT OR REPORTED ONLY MEDICAL PROVIDER VISITS THAT WERE ALSO SD EVENTS ((THE
EVNT LOOP CONTAINS NO ENTRIES WHERE EVNTTYPE=MP AND EVNTRNDC=CURROUND)) OR
REPORTED ONLY MEDICAL PROVIDER VISITS THAT ARE FLAGGED AS ERRORS OR DELETIONS (THE
ONLY ENTRIES IN THE EVNT LOOP WHERE EVNTTYPE=MP AND EVNTRNDC=CURROUND ARE FLAGGED
WITH EVERRFLG=1 OR EVNTDFLG=1)) AND (RESPONSE TO AC21- MDREAS DOES NOT INCLUDE
1/MedCondNamed AND DOES NOT INCLUDE 6/Surgery), GO TO AC22 - MDSCOND.
ELSE GO TO AC24 - MDAPPT.

MDSCOND

AC22

yes/no

Was that for a specific condition?

(01) YES
(02) NO
(-8) Don't Know
(-9) Refused

AC24 - MDAPPT

MDAPPT

AC24

code one

Did [you/(SP)] have an appointment for this visit with the doctor, or did [you/(SP)] just walk in?

(01) APPOINTMENT
(02) WALKED IN
(-8) Don't Know
(-9) Refused

(01) AC25 - MDDRTEL
(02) AC28A1 - DWAITUNT
(-8) AC28A1 - DWAITUNT
(-9) AC28A1 - DWAITUNT

Page 5 of 8

2024 MCBS Community Questionnaire

Variable Name

MDDRTEL

MR Screen Name

AC25

Question Type

code one

ACQ-ACCESS TO CARE

Question Text/Description

We are interested in knowing how the appointment was made for the visit to the doctor’s office you just told me
about.
Did someone make this appointment during an earlier visit, or did [you/(SP)] contact the doctor’s office to set up
the appointment?

How long did [you/(SP)] have to wait for the appointment with the medical doctor -- about how many days, weeks,
or months?

Code List

Routing

(01) SOMEONE MADE APPOINTMENT DURING
EARLIER VISIT
(02) SP CONTACTED OFFICE TO SET UP
APPOINTMENT
(03) DOCTOR'S OFFICE CONTACTED SP TO SET UP
APPOINTMENT
(04) STANDING APPOINTMENT
(-8) Don't Know
(-9) Refused

(01) AC26 - MDAWUNT
(02) AC26 - MDAWUNT
(03) AC26 - MDAWUNT
(04) AC28A1 - DWAITUNT
(-8) AC28A1 - DWAITUNT
(-9) AC28A1 - DWAITUNT

(00) DID NOT HAVE TO WAIT
(01) DAYS
(02) WEEKS
(03) MONTHS
(-8) Don't Know
(-9) Refused

(00) AC28A1 - DWAITUNT
(01) AC26 - MDAWDAY
(02) AC26 - MDAWWKS
(03) AC26 - MDAWMOS
(-8) AC28A1 - DWAITUNT
(-9) AC28A1 - DWAITUNT

MDAWUNT

AC26

code one

MDAWDAY

AC26

numeric

How long did [you/(SP)] have to wait for the appointment with the medical doctor -- about how many days, weeks,
or months?

(01) continuous answer

AC28A1 - DWAITUNT

MDAWWKS

AC26

numeric

How long did [you/(SP)] have to wait for the appointment with the medical doctor -- about how many days, weeks,
or months?

(01) continuous answer

AC28A1 - DWAITUNT

MDAWMOS

AC26

numeric

How long did [you/(SP)] have to wait for the appointment with the medical doctor -- about how many days, weeks,
or months?

(01) continuous answer

AC28A1 - DWAITUNT

(00) DID NOT HAVE TO WAIT
(01) HOURS ONLY
(02) MINUTES ONLY
(03) HOURS AND MINUTES
(-8) Don't Know
(-9) Refused

(00) BOX AC1G
(01) AC28A1 - DWAITHRS
(02) AC28A1 - DWAITMIN
(03) AC28A1 - DWAITHRS
(-8) BOX AC1G
(-9) BOX AC1G

WE ARE ASKING HOW MUCH TIME PASSED BETWEEN THE FIRST CONTACT FOR SETTING THE
APPOINTMENT AND THE ACTUAL DATE OF THE APPOINTMENT

DWAITUNT

AC28A1

code one

[Think about the most recent time [you/(SP)] saw a medical doctor somewhere other than at home or at a hospital.]
How long did [you/(SP)] have to wait [beyond [your/(SP's)] appointment time] during [your/(SP)'s] most recent visit
before [you/(SP)] saw a doctor or some other medical person? Please include the time spent in the waiting room
and exam room.

DWAITHRS

AC28A1

numeric

[Think about the most recent time [you/(SP)] saw a medical doctor somewhere other than at home or at a hospital.]
How long did [you/(SP)] have to wait [beyond [your/(SP's)] appointment time] during [your/(SP)'s] most recent visit
(01) continuous answer
before [you/(SP)] saw a doctor or some other medical person? Please include the time spent in the waiting room
and exam room.

If AC28A1 - DWAITUNT = 3/HoursAndMinutes, go to
AC28A1 - DWAITMIN
Else go to BOX AC1G.

DWAITMIN

AC28A1

numeric

[Think about the most recent time [you/(SP)] saw a medical doctor somewhere other than at home or at a hospital.]
How long did [you/(SP)] have to wait [beyond [your/(SP's)] appointment time] during [your/(SP)'s] most recent visit
(01) continuous answer
before [you/(SP)] saw a doctor or some other medical person? Please include the time spent in the waiting room
and exam room.

BOX AC1G

BOX AC1G

routing

IF AC20-AC28A1 ASKED WHILE ADMINISTERING MP, GO TO MP18 - MPHPRAC.
ELSE IF SP HAS A CURRENT MEDICARE MANAGED CARE PLAN, GO TO AC33 - MHREFDIF.
ELSE GO TO BOX AC3.

Page 6 of 8

2024 MCBS Community Questionnaire

Variable Name

MR Screen Name

Question Type

ACQ-ACCESS TO CARE

Question Text/Description
The following questions are about health care that [you/(SP)] received through (CURRENT MEDICARE MANAGED
CARE PLAN NAME).

MHREFDIF

MPSPCLTY

AC33

AC34A

code one

code one

While a member of (CURRENT MEDICARE MANAGED CARE PLAN NAME), [have you/has (SP)] had difficulty in
obtaining referrals for the services of a specialist or other medical person within (CURRENT MEDICARE
MANAGED CARE PLAN NAME) that [you/(SP)] thought were necessary?
[IF NECESSARY, SAY: ‘The referral must have been for services provided by a specialist or medical provider who
is associated with your Medicare Managed Care plan, not a specialist or medical provider who is "outside" of the
plan.’]

SHOW CARD AC1
What kind of specialist or medical person was this?
[PROBE FOR RESPONDENT TO SELECT A CHOICE FROM THE CARD IF THEY MENTION A 'GENERIC'
SPECIALITY LIKE ‘HEART DOCTOR.’ IF RESPONDENT ONLY GIVES A 'GENERIC' SPECIALTY AND THE
GENERIC WORD IS SHOWN IN PARENTHESES FOLLOWING ONE OF THE RESPONSES, SELECT THE
RESPONSE CATEGORY FOR THAT SPECIALTY (E.G., 'CARDIOLOGY'). OTHERWISE SELECT 'OTHER DR
SPECIALTY'.]

Code List

Routing

(01) YES
(02) NO
(03) N/A, HAVEN'T TRIED TO OBTAIN REFERRAL
(-8) Don't Know
(-9) Refused

(01) AC34A - MPSPCLTY
(02) AC36 - MHREFPAY
(03) AC36 - MHREFPAY
(-8) AC36 - MHREFPAY
(-9) AC36 - MHREFPAY

(01) ALLERGY/IMMUNOLOGY
(02) ANESTHESIOLOGY
(03) CARDIOLOGY (HEART)
(04) DERMATOLOGY (SKIN)
(05) ENDOCRINOLOGY/METABOLISM
(DIABETES,THYROID)
(06) FAMILY PRACTICE
(07) GASTROENTEROLOGY
(08) GENERAL PRACTICE
(09) GENERAL SURGERY
(10) GERIATRICS (ELDERLY)
(11) GYNECOLOGY - OBSTETRICS
(12) HEMATOLOGY (BLOOD)
(13) HOSPITAL RESIDENCE
(14) INTERNAL MEDICINE (INTERNIST)
(15) NEPHROLOGY (KIDNEYS)
(16) NEUROLOGY
(17) NUCLEAR MEDICINE
(18) ONCOLOGY (TUMORS, CANCER)
(19) OPHTHALMOLOGY (EYES)
(20) ORTHOPEDICS
(21) OSTEOPATHY (DO)
(22) OTORHINOLARYNGOLOGY (EAR, NOSE,
THROAT)
(23) PAIN MANAGEMENT SPECIALIST
(24) PATHOLOGY
(25) PHYS MED/REHAB
(26) PHYSICIAN’S ASSISTANT
(27) PLASTIC SURGERY
(28) PODIATRIST
(29) PROCTOLOGY
(30) PSYCHIATRY/PSYCHIATRIST
(31) PULMONARY (LUNGS)
(32) RADIOLOGY
(33) RHEUMATOLOGY (ARTHRITIS)
(34) THORACIC SURGERY (CHEST)
(35) UROLOGY
(36) VASCULAR SURGEON/SPECIALIST
(37) AUDIOLOGIST
(38) CHIROPRACTOR
(39) DENTIST
(40) OPTOMETRIST
(41) PHYSICAL THERAPIST
(42) PSYCHOLOGIST
(43) NURSE PRACTITIONER
(91) OTHER DR SPECIALTY
(-8) Don't Know
(-9) Refused

(01) AC35 - MHDIFCLT
(02) AC35 - MHDIFCLT
(03) AC35 - MHDIFCLT
(04) AC35 - MHDIFCLT
(05) AC35 - MHDIFCLT
(07) AC35 - MHDIFCLT
(08) AC35 - MHDIFCLT
(09) AC35 - MHDIFCLT
(10) AC35 - MHDIFCLT
(11) AC35 - MHDIFCLT
(12) AC35 - MHDIFCLT
(13) AC35 - MHDIFCLT
(14) AC35 - MHDIFCLT
(15) AC35 - MHDIFCLT
(16) AC35 - MHDIFCLT
(17) AC35 - MHDIFCLT
(18) AC35 - MHDIFCLT
(19) AC35 - MHDIFCLT
(20) AC35 - MHDIFCLT
(21) AC35 - MHDIFCLT
(22) AC35 - MHDIFCLT
(23) AC35 - MHDIFCLT
(24) AC35 - MHDIFCLT
(25) AC35 - MHDIFCLT
(26) AC35 - MHDIFCLT
(27) AC35 - MHDIFCLT
(28) AC35 - MHDIFCLT
(29) AC35 - MHDIFCLT
(30) AC35 - MHDIFCLT
(31) AC35 - MHDIFCLT
(32) AC35 - MHDIFCLT
(33) AC35 - MHDIFCLT
(34) AC35 - MHDIFCLT
(35) AC35 - MHDIFCLT
(36) AC35 - MHDIFCLT
(37) AC35 - MHDIFCLT
(38) AC35 - MHDIFCLT
(39) AC35 - MHDIFCLT
(40) AC35 - MHDIFCLT
(41) AC35 - MHDIFCLT
(42) AC35 - MHDIFCLT
(43) AC35 - MHDIFCLT
(91) AC34A - MHSPCLOS
(-8) AC35 - MHDIFCLT
(-9) AC35 - MHDIFCLT

Page 7 of 8

2024 MCBS Community Questionnaire

ACQ-ACCESS TO CARE

Variable Name

MR Screen Name

Question Type

Question Text/Description

Code List

Routing

MHSPCLOS

AC34A

verbatim text

OTHER (SPECIFY)

(01) continuous answer

AC35 - MHDIFCLT

(01) PLAN WOULDN’T AUTHORIZE SERVICE
(02) THE WAIT FOR APPOINTMENT WAS TOO LONG
(03) PROVIDER’S LOCATION WAS NOT CONVENIENT
(04) DOCTOR/PLAN WOULDN'T GIVE SP REFERRAL
TO SEE PROVIDER SP WANTED TO SEE
(05) SP DIDN'T LIKE/NOT CONFIDENT IN PROVIDER
PLAN REFERRED SP TO
(06) PROVIDER’S OFFICE HOURS WERE NOT
CONVENIENT
(91) OTHER
(-8) Don't Know
(-9) Refused

(01) AC36 - MHREFPAY
(02) AC36 - MHREFPAY
(03) AC36 - MHREFPAY
(04) AC36 - MHREFPAY
(05) AC36 - MHREFPAY
(06) AC36 - MHREFPAY
(91) AC35 - MHOTHOS
(-8) AC36 - MHREFPAY
(-9) AC36 - MHREFPAY

What kind of difficulty did [you/(SP)] have?
MHDIFCLT

AC35

code all

MHOTHOS

AC35

verbatim text

OTHER (SPECIFY)

(01) continuous answer

AC36 - MHREFPAY

AC36

code one

Has (CURRENT MEDICARE MANAGED CARE PLAN NAME) ever refused to pay for emergency treatment that
[you/(SP)] felt was necessary?
[‘EMERGENCY TREATMENT’ REFERS TO URGENTLY NEEDED MEDICAL CARE THAT IS REQUIRED WHEN
THE BENEFICIARY IS OUTSIDE OF THE PLAN'S SERVICE AREA OR WHEN THE CARE IS REQUIRED
DURING A TIME THAT IS OUTSIDE THE PLAN'S NORMAL OPERATING HOURS.]

(01) YES
(02) NO
(03) N/A, HAVEN'T NEEDED EMERGENCY
TREATMENT
(-8) Don't Know
(-9) Refused

BOX AC3

BOX AC3

routing

IF 11TH ROUND INTERVIEW AND (INTTYPE IN C001) AND (MREFDATE) IS AFTER (JANUARY 1 (ROUND
YEAR)) GO TO STQ.
ELSE GO TO PMQ.

MHREFPAY

[PROBE: Any other difficulty?]
CHECK ALL THAT APPLY.

Page 8 of 8


File Typeapplication/pdf
File TitleMedicare Current Beneficiary Survey Section Specifications for ACQ
SubjectMedicare beneficiaries, MCBS community questionnaire, 2024, Access to care, ACQ
AuthorNORC at the University of Chicago
File Modified2024-08-13
File Created2024-08-06

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