MEPS-HC Core Interview

Documents and forms in this information collection

Document Name	Document Type
Form 1 Access to Care MEPS-HC Core Interview	Form and Instruction
Form 2 Additional Questions MEPS-HC Core Interview	Form and Instruction
Form 3 Assets MEPS-HC Core Interview	Form and Instruction
Form 4 Calendar Section MEPS-HC Core Interview	Form and Instruction
Form 5 Closing Section MEPS-HC Core Interview	Form and Instruction
Form 6 Contracting Module MEPS-HC Core Interview	Form and Instruction
Form 7 Charge Payment Section MEPS-HC Core Interview	Form and Instruction
Form 8 Child Preventive Health Section MEPS-HC Core Interview	Form and Instruction
Form 9 Dental Visit Section MEPS-HC Core Interview	Form and Instruction
Form 10 Event Driver Section MEPS-HC Core Interview	Form and Instruction
Form 11 Event Enumeration Section MEPS-HC Core Interview	Form and Instruction
Form 12 Event Follow Up Section MEPS-HC Core Interview	Form and Instruction
Form 13 Employment Section MEPS-HC Core Interview	Form and Instruction
Form 14 Employment Driver Section MEPS-HC Core Interview	Form and Instruction
Form 15 Emergency Room Section MEPS-HC Core Interview	Form and Instruction
Form 16 Event Roster Section MEPS-HC Core Interview	Form and Instruction
Form 17 Employment Wages Section MEPS-HC Core Interview	Form and Instruction
Form 18 Flat Fee Section MEPS-HC Core Interview	Form and Instruction
Form 19 Food Security Section MEPS-HC Core Interview	Form and Instruction
Form 20 Financial Well Being Section MEPS-HC Core Interview	Form and Instruction
Form 21 Global Section MEPS-HC Core Interview	Form and Instruction
Form 22 Health Status Section MEPS-HC Core Interview	Form and Instruction
Form 23 Home Health Section MEPS-HC Core Interview	Form and Instruction
Form 24 Health Insurance Detail Section MEPS-HC Core Interview	Form and Instruction
Form 25 Time Period Covered Detail Section MEPS-HC Core Interview	Form and Instruction
Form 26 Hospital Stay Section MEPS-HC Core Interview	Form and Instruction
Form 27 Health Insurance Section MEPS-HC Core Interview	Form and Instruction
Form 28 Institutional Care Stay Section MEPS-HC Core Interview	Form and Instruction
Form 29 Income Section MEPS-HC Core Interview	Form and Instruction
Form 30 Managed Care Section MEPS-HC Core Interview	Form and Instruction
Form 31 Medical Visit Section MEPS-HC Core Interview	Form and Instruction
Form 32 Old Empl-Priv Related Ins Section MEPS-HC Core Interview	Form and Instruction
Form 33 Off Path Navigation Section MEPS-HC Core Interview	Form and Instruction
Form 34 Other Medical Expenses Section MEPS-HC Core Interview	Form and Instruction
Form 35 Outpatient Department Section MEPS-HC Core Interview	Form and Instruction
Form 36 Priority Condition Enumeration Section MEPS-HC Core Interview	Form and Instruction
Form 37 Prescribed Medicines Section MEPS-HC Core Interview	Form and Instruction
Form 38 Provider Probes Section MEPS-HC Core Interview	Form and Instruction
Form 39 Old Public Related Insurance Section MEPS-HC Core Interview	Form and Instruction
Form 40 Provider Roster Section MEPS-HC Core Interview	Form and Instruction
Form 41 Quality Supplement Section MEPS-HC Core Interview	Form and Instruction
Form 42 Renumeration A Section MEPS-HC Core Interview	Form and Instruction
Form 43 Reenumeration Section B Section MEPS-HC Core Interview	Form and Instruction
Form 45 Review of Employment Section MEPS-HC Core Interview	Form and Instruction
Form 46 Start-Restart Section MEPS-HC Core Interview	Form and Instruction
Form 47 Telehealth Section MEPS-HC Core Interview	Form and Instruction
1 Access to Care Attachment 1 – Access to Care.pdf	Form and Instruction
2 Additional Questions Attachment 2 – Additional Healthcare Questions.pdf	Form and Instruction
3 Assets Attachment 3 – Assets.pdf	Form and Instruction
4 Calendar Section Attachment 4 – Calendar Section.pdf	Form and Instruction
5 Closing Section Attachment 5 – Closing Section.pdf	Form and Instruction
6 Contracting Module Attachment 6 – Contacting Module Section.pdf	Form and Instruction
7 Charge Payment Section Attachment 7 – Charge Payment Section.pdf	Form and Instruction
8 Child Preventive Health Section Attachment 8 – Child Preventive Health Section.pdf	Form and Instruction
9 Dental Visit Section Attachment 9 – Dental Visit Section.pdf	Form and Instruction
10 Event Driver Section Attachment 10 – Event Driver Section.pdf	Form and Instruction
11 Event Enumeration Section Attachment 11 – Event Enumeration Section.pdf	Form and Instruction
12 Event Follow Up Section Attachment 12 -- Event Follow-Up Section.pdf	Form and Instruction
13 Employment Section Attachment 13 -- Employment Section.pdf	Form and Instruction
14 Employment Driver Section Attachment 14 -- Employment Driver Section.pdf	Form and Instruction
15 Emergency Room Section Attachment 15 -- Emergency Room Section.pdf	Form and Instruction
16 Event Roster Section Attachment 16 -- Event Roster Section.pdf	Form and Instruction
17 Employment Wages Section Attachment 17 -- Employment Wages Section.pdf	Form and Instruction
18 Flat Fee Section Attachment 18 -- Flat Fee Section.pdf	Form and Instruction
19 Food Security Section Attachment 19 -- Food Security Section.pdf	Form and Instruction
20 Financial Well Being Section Attachment 20 -- Financial Well-Being Section.pdf	Form and Instruction
21 Global Section Attachment 21 -- Global Section.pdf	Form and Instruction
22 Health Status Section Attachment 22 -- Health Status Section.pdf	Form and Instruction
23 Home Health Section Attachment 23 -- Home Health Section.pdf	Form and Instruction
24 Health Insurance Detail Section Attachment 24 -- Health Insurance Detail Section.pdf	Form and Instruction
25 Time Period Covered Detail Section Attachment 25 -- Time Period Covered Detail Section.pdf	Form and Instruction
26 Hospital Stay Section Attachment 26 -- Hospital Stay Section.pdf	Form and Instruction
27 Health Insurance Section Attachment 27 -- Health Insurance Section.pdf	Form and Instruction
28 Institutional Care Stay Section Attachment 28 -- Institutional Care Stay Section.pdf	Form and Instruction
29 Income Section Attachment 29 -- Income Section.pdf	Form and Instruction
30 Managed Care Section Attachment 30 – Managed Care Section.pdf	Form and Instruction
31 Medical Visit Section Attachment 31 -- Medical Visit Section.pdf	Form and Instruction
32 Old Empl-Priv Related Ins Section Attachment 32 -- Old Empl-Priv Related Ins Section.pdf	Form and Instruction
33 Off Path Navigation Section Attachment 33 -- Off Path Navigation Section.pdf	Form and Instruction
34 Other Medical Expenses Section Attachment 34 -- Other Medical Expenses Section.pdf	Form and Instruction
35 Outpatient Department Section Attachment 35 -- Outpatient Department Section.pdf	Form and Instruction
36 Priority Condition Enumeration Section Attachment 36 -- Priority Condition Enumeration Section.pdf	Form and Instruction
37 Prescribed Medicines Section Attachment 37 -- Prescribed Medicines Section.pdf	Form and Instruction
38 Provider Probes Section Attachment 38 -- Provider Probes Section.pdf	Form and Instruction
39 Old Public Related Insurance Section Attachment 39 -- Old Public Related Insurance Section.pdf	Form and Instruction
40 Provider Roster Section Attachment 40 -- Provider Roster Section.pdf	Form and Instruction
41 Quality Supplement Section Attachment 41 -- Quality Supplement Section.pdf	Form and Instruction
42 Renumeration A Section Attachment 42 -- Reenumeration A Section.pdf	Form and Instruction
43 Reenumeration Section B Section Attachment 43 -- Reenumeration B Section.pdf	Form and Instruction
45 Review of Employment Section Attachment 45 -- Review of Employment Section.pdf	Form and Instruction
46 Start-Restart Section Attachment 46 -- Start-Restart Section.pdf	Form and Instruction
47 Telehealth Section Attachment 47 -- Telehealth Section.pdf	Form and Instruction
Attachment 48 -- MEPS-HC Show Cards.pdf MEPS HC Show Card	IC Document

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