Document
Crosswalk: Medicaid.gov Pop-up Survey
ICR 202609-0938-011 · OMB 0938-1382 · Object 172936100.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
|---|---|
| File Title | Crosswalk: Medicaid.gov Pop-up Survey |
| Author | Tess Hines |
| Last Modified By | Calc |
| File Modified | 2026-04-15 |
| File Created | 2026-10-10 |
| Conversion State | complete |
Extracted Text
CMS 10909 - Medicaid.gov Pop-up Survey for Desktop and Mobile Question Number Current Question Version Current Answer(s) Version Future Question Version Question 1 "Based on my experience on Medicaid.gov, I trust that Medicaid is working in the best interest of the American public. " Yes/No [single select, required] "Based on my experience on Medicaid.gov, I trust that Medicaid is working in the best interest of the American public. " Question 2 "Which of these best describes you?" Looking for Medicaid Information for Myself Looking for Medicaid Information for Someone Else Healthcare professional or administrative staff Government employee Academic researcher or healthcare policy analyst Other (Please specify) [open text] "Which of these best describes you?" Question 3 "What was the main reason you came Medicaid eligibility or coverage information to Medicaid.gov today? If you came for Federal policy or regulatory guidance more than one reason, please pick the CHIP information main one." Data Resources for states Other (Please specify) [open text] "What was the main reason you came to Medicaid.gov today? If you came for more than one reason, please pick the main one." Question 4 "What about today's interaction made the difference? (Select all that apply)" **only shows if "Yes" answer to question 1 "What about today's interaction made the difference? (Select all that apply)" I accomplished my task The website was easy to navigate Found what I needed quickly The information was easy to understand Something else [open text] CMS 10909 - Medicaid.gov Pop-up Survey for Desktop and Mobile Question Number Current Question Version Question 5 "What could have been better? (Select I did not complete my task all that apply)" **only shows if "No" The website was difficult to navigate answer to question 1 It took too long to do what I needed to do The information was hard to understand Something else N/A Question 6 "If you used the Medicaid.gov search feature, did it help you find what you were looking for today?" Yes No Does not apply N/A Question 7 - - "How satisfied are you with your overall experience on Medicaid.gov?" Question 8 "You told us you were dissatisfied with [open text] one or more parts of your experience. To help us improve, please tell us why. Please be specific, but protect your privacy - don't include personal information, like your phone number, address, or Social Security number." Current Answer(s) Version Future Question Version N/A CMS 10909 - Medicaid.gov Pop-up Survey for Desktop and Mobile Question Number Current Question Version Current Answer(s) Version Future Question Version Question 9 "How can we improve your overall experience on Medicaid.gov? [open text] "How can we improve your overall experience on Medicaid.gov? Please be specific, but protect your privacy - don't include personal information, like your phone number, address, or Social Security number." Please be specific, but protect your privacy - don't include personal information, like your phone number, address, or Social Security number." Pop-up Survey for Desktop and Mobile Future Answer(s) Version Type of Change(s) from Description of Change from Current to Current to Future Version Future Version Yes/No (single select, required) No change No change No burden implications I Have or am Applying for Medicaid I am a Caregiver, Friend, or Family Member Healthcare Professional Government Employee Researcher of Policy Analyst None of These Apply (Please specify) [open text] Medicaid eligibility or coverage information Federal policy or regulatory guidance CHIP information Data Resources for states Other (Please specify) [open text] Revision to future answers Minor wording changes to existing categories are being made based on user feedback and industry best practices No burden implications No change No change No burden implications Accomplishing my task Website navigation Find what I need Able to understand the information Something else [open text] Revision to future answers Minor wording changes to existing categories are being made based on user feedback and industry best practices No burden implications Burden Implications Pop-up Survey for Desktop and Mobile Future Answer(s) Version Type of Change(s) from Description of Change from Current to Current to Future Version Future Version N/A Removal The revised wording to question 4 eliminates the need for this logic-based alternative question/answer set N/A Removal This question/answer set is no longer necessary No burden implications Extremely dissatisfied Slightly dissatisfied Neither satisfied nor dissatisfied Slightly satisfied Extremely satisfied N/A Addition to survey - consistent This is a simple 1-5 Likert satisfaction selection, No burden implications with Medicaid.gov Feedback maintaining consistency across all surveys tool Removal Burden Implications No burden implications This question/answer set is no longer necessary No burden implications Pop-up Survey for Desktop and Mobile Future Answer(s) Version Type of Change(s) from Description of Change from Current to Current to Future Version Future Version [open text] No change No change Burden Implications No burden implications