OMB control number
Medical Expenditure Panel Survey - Household and Medical Provider Components
OMB 0935-0118 · HHS/AHRQ.
OMB 0935-0118
The MEPS was initiated in 1996. Each year a new panel of sample households is selected. Recent annual MEPS-HC sample sizes average about 13,500 households. Data can be analyzed at either the person, family, or event level. The panel design of the survey, which includes 5 Rounds of interviews covering 2 full calendar years, provides data for examining person level changes in selected variables such as expenditures, health insurance coverage, and health status (see Medical Expenditure Panel Survey Content Summary of the Household Interview (ahrq.gov) for information on how the Covid-19 pandemic impacted this design). Using a combination of computer assisted personal interviewing (CAPI), computer assisted video interviewing (CAVI), and self-administered paper and web questionnaires, information about each household member is collected, and the survey builds on this information from interview to interview. CAVI is a new data collection technology and offers the best of both telephone and in-person interviewing, while offering opportunities for cost savings and more accurate reporting. This Information Collection Request (ICR) is for a revision to the Medical Expenditures Panel Survey – Household Component (MEPS-HC). These changes will be fielded in the Spring and Fall of 2025 and includes the addition of the Burdens and Economic Impacts of Medical Care Self-Administered Questionnaire (ESAQ), minor changes to questions in both the Core MEPS Interview and the Adult SAQ and removing the Cancer SAQ (CSAQ).
The latest form for Medical Expenditure Panel Survey - Household and Medical Provider Components expires 2029-06-30 and is listed under ICR 202603-0935-001.
Latest Forms, Documents, and Supporting Material
Form 47 Telehealth Section
Form 63 Burdens and Economic Impacts of Medical Care SAQ
MEPS-HC Core InterviewAll Historical Document Collections
OMB Details
MEPS-HC Core Interview
Federal Enterprise Architecture: Health - Health Care Services
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form 7 | Charge Payment Section | Fillable Fileable | Form and instruction |
| Form 4 | Calendar Section | Fillable Fileable | Form and instruction |
| Form 1 | Access to Care | Fillable Fileable | Form and instruction |
| Form 47 | Telehealth Section | Fillable Fileable | Form and instruction |
| Form 37 | Prescribed Medicines Section | Fillable Fileable | Form and instruction |
| Form 36 | Priority Condition Enumeration Section | Fillable Fileable | Form and instruction |
| Form 15 | Emergency Room Section | Fillable Fileable | Form and instruction |
| Form 2 | Additional Questions | Fillable Fileable | Form and instruction |
| Form 38 | Provider Probes Section | Fillable Fileable | Form and instruction |
| Form 20 | Financial Well Being Section | Fillable Fileable | Form and instruction |
| Form 43 | Reenumeration Section B Section | Fillable Fileable | Form and instruction |
| Form 42 | Renumeration A Section | Fillable Fileable | Form and instruction |
| Form 41 | Quality Supplement Section | Fillable Fileable | Form and instruction |
| Form 40 | Provider Roster Section | Fillable Fileable | Form and instruction |
| Form 39 | Old Public Related Insurance Section | Fillable Fileable | Form and instruction |
| Form 17 | Employment Wages Section | Fillable Fileable | Form and instruction |
| Form 16 | Event Roster Section | Fillable Fileable | Form and instruction |
| Form 34 | Other Medical Expenses Section | Fillable Fileable | Form and instruction |
| Form 19 | Food Security Section | Fillable Fileable | Form and instruction |
| Form 46 | Start-Restart Section | Fillable Fileable | Form and instruction |
| Form 45 | Review of Employment Section | Fillable Fileable | Form and instruction |
| Form 33 | Off Path Navigation Section | Fillable Fileable | Form and instruction |
| Form 32 | Old Empl-Priv Related Ins Section | Fillable Fileable | Form and instruction |
| Form 30 | Managed Care Section | Fillable Fileable | Form and instruction |
| Form 29 | Income Section | Fillable Fileable | Form and instruction |
| Form 28 | Institutional Care Stay Section | Fillable Fileable | Form and instruction |
| Form 27 | Health Insurance Section | Fillable Fileable | Form and instruction |
| Form 26 | Hospital Stay Section | Fillable Fileable | Form and instruction |
| Form 24 | Health Insurance Detail Section | Fillable Fileable | Form and instruction |
| Form 23 | Home Health Section | Fillable Fileable | Form and instruction |
| Form 21 | Global Section | Fillable Fileable | Form and instruction |
| Form 14 | Employment Driver Section | Fillable Fileable | Form and instruction |
| Form 13 | Employment Section | Fillable Fileable | Form and instruction |
| Form 12 | Event Follow Up Section | Fillable Fileable | Form and instruction |
| Form 11 | Event Enumeration Section | Fillable Fileable | Form and instruction |
| Form 10 | Event Driver Section | Fillable Fileable | Form and instruction |
| Form 9 | Dental Visit Section | Fillable Fileable | Form and instruction |
| Form 6 | Contracting Module | Fillable Fileable | Form and instruction |
| Form 5 | Closing Section | Fillable Fileable | Form and instruction |
| Form 3 | Assets | Fillable Fileable | Form and instruction |
| Form 35 | Outpatient Department Section | Fillable Fileable | Form and instruction |
| Form 31 | Medical Visit Section | Fillable Fileable | Form and instruction |
| Form 18 | Flat Fee Section | Fillable Fileable | Form and instruction |
| Form 22 | Health Status Section | Fillable Fileable | Form and instruction |
| Form 8 | Child Preventive Health Section | Fillable Fileable | Form and instruction |
| Form 25 | Time Period Covered Detail Section | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.