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CAHPS for MIPS Web Survey Invitation Letter

ICR 202607-0938-006 · OMB 0938-1222 · Object 171071900.

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Record metadata
application/pdf
CAHPS for MIPS Web Survey Invitation Letter
CAHPS for MIPS Web Survey Invitation Letter
CAHPS, MIPS
HHS, CMS
Microsoft Word
2026-03-31
2026-03-31
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].