Document
CAHPS for MIPS Web Survey Invitation Letter
ICR 202607-0938-006 · OMB 0938-1222 · Object 171071900.
Document Viewer [pdf]
Status: Original and derived artifacts are available for this document.
Download: pdf
Loading document viewer…
Document Metadata
| File Type | application/pdf |
|---|---|
| File Title | CAHPS for MIPS Web Survey Invitation Letter |
| Subject | CAHPS for MIPS Web Survey Invitation Letter |
| Keywords | CAHPS, MIPS |
| Author | HHS, CMS |
| Last Modified By | Microsoft Word |
| File Modified | 2026-03-31 |
| File Created | 2026-03-31 |
| Conversion State | complete |
Extracted Text
CAHPS for MIPS Web Survey Invitation Letter [VENDOR LOGO] [OPTIONAL: VENDORS MAY DISPLAY THE CMS LOGO IN ADDITION TO VENDOR LOGO] [SCHEDULED DATE OF LETTER MAILING] Dear [FIRST LAST]: This letter invites you to take part in an important survey about your care under Medicare. The Centers for Medicare & Medicaid Services (CMS) is the federal agency that administers the Medicare program. CMS uses the information from this survey to help make sure Medicare patients get the best care possible. The survey asks questions about your experience with a specific provider you visited within the last 6 months. Your voice matters. The survey will take just a few minutes, and your information is kept private by law. Participation in the survey is voluntary. Please type this address into your web browser to begin the survey: WEB SURVEY URL You will be asked to enter a survey code, please type in: «PIN» If you have questions about this survey, please email the survey organization working with Medicare at [VENDOR EMAIL], or call toll-free at [VENDOR TOLLFREE NUMBER]. If you do not complete the survey online, we will send you the survey by mail in about two weeks. Thank you in advance for your help. Sincerely, [SIGNED BY SENIOR LEADER AT VENDOR ORGANIZATION] Nota: Para solicitar una copia de esta encuesta en español, llame a [VENDOR NAME] al [1XXX-XXX-XXXX] de lunes a viernes de 9:00 am a 6:00 pm [VENDOR TIME ZONE: ET/CT/MT/PT].