OMB control number

Medicare Advantage, Medicare Part D, and Medicare Fee-For-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey (CMS-R-246)

OMB 0938-0732 · HHS/CMS.

OMB 0938-0732

CMS has fielded the MA (Consumer Assessment of Health Care Providers and Systems) CAHPS Survey annually since 1998, the Medicare FFS CAHPS Survey annually since 2000, and the MA DP and Stand Alone PDP CAHPS survey annually since 2006. The Medicare CAHPS is a national survey of health and prescription drug plans conducted at the contract level for MA, MA PD and Stand Alone PDP plans and at the state level for Medicare fee-for-service. Medicare CAHPS provides data to permit preparation of plan performance measures to assist Medicare beneficiaries in their selection of a health and/or prescription drug plan and help policymakers and others assist the Medicare program and Medicare plans design and monitor patient-centered quality improvement initiatives. The 2009 Call letter for MA and MA PD plans requires these plans to contract with private vendors from a list selected by CMS to conduct the 2011 Medicare CAHPS survey for their plan at the contract level and provide the collected data to CMS for analyses and preparation of CAHPS measures for use in consumer and plan reports and for quality improvement purposes for MA, MA PD, and Stand Alone PDP plans. CMS will continue to collect the Medicare FFS CAHPS data from surveys at the state and some sub-state levels. This revision to a currently approved collection is to add questions focusing on care coordination. The Medicare CAHPS survey has taken the OMB No. 0935-0732.

The latest form for Medicare Advantage, Medicare Part D, and Medicare Fee-For-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey (CMS-R-246) expires 2027-11-30 and is listed under ICR 202505-0938-018.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CMS-R-246 Medicare Advantage Plan Survey - VietnameseForm and Instruction
Form CMS-R-246 Medicare Advantage Plan Survey - TagalogForm and Instruction
Form CMS-R-246 Medicare Advantage Plan Survey - SpanishForm and Instruction
Form CMS-R-246 Medicare Advantage Plan Survey - KoreanForm and Instruction
Form CMS-R-246 Medicare Advantage Plan Survey - ChineseForm and Instruction
Form CMS-R-246 Medicare Advantage Plan SurveyForm and Instruction
Form CMS-R-246 Medicare Advantage (MA) SurveyForm and Instruction
Form CMS-R-246 Prescription Drug Plan Survey - EnglishForm and Instruction
Form CMS-R-246 Prescription Drug Plan Survey - VietnameseForm and Instruction
Form CMS-R-246 Medicare Advantage and Prescription Drug Plan Survey - VietnameseForm and Instruction
Form CMS-R-246 Prescription Drug Plan Survey - TagalogForm and Instruction
Form CMS-R-246 Medicare Advantage and Prescription Drug Plan Survey - TagalogForm and Instruction
Form CMS-R-246 Prescription Drug Plan Survey - SpanishForm and Instruction
Form CMS-R-246 Medicare Advantage and Prescription Drug Plan Survey - SpanishForm and Instruction
Form CMS-R-246 Prescription Drug Plan Survey - KoreanForm and Instruction
Form CMS-R-246 Medicare Advantage and Prescription Drug Plan Survey - KoreanForm and Instruction
Form CMS-R-246 Prescription Drug Plan Survey - ChineseForm and Instruction
Form CMS-R-264 Medicare Advantage and Prescription Drug Plan Survey - ChineseForm and Instruction
Form CMS-R-246 Medicare Advantage and Prescription Drug Plan (MA & PDP) CAHPS SurveyForm and Instruction
Form CMS-R-246 MA-PDP SurveyForm and Instruction
Form CMS-R-246 Fee-For-Service (FFS) SurveyForm and Instruction
Form CMS-R-246 Fee-For-Service (FFS) SurveyForm and Instruction
CMS-R-246_ MCAHPS Supporting Statement A 2025 Non-Sub .docxSupporting Statement A
CMS-R-246_ MCAHPS Supporting Statement A 2025 Non-Sub .docxSupporting Statement A
CMS-R-246 - Non-Sub Change Request Memo - June 4 2025.docxJustification for No Material/Nonsubstantive Change
CMS-R-246 - Non-Sub Change Request Memo - June 4 2025.docx Justification for No Material/Nonsubstantive Change
MCAHPS - Crosswalk 2025-6-4.xlsxSupplementary Document
MCAHPS - Crosswalk 2025-6-4.xlsx Supplementary Document
CMS-R-246_MCAHPS Supporting Statement B.docxSupporting Statement B
CMS-R-246_MCAHPS Supporting Statement B.docxSupporting Statement B
Medicare Advantage (MA) Survey Form and Instruction
Medicare Advantage (MA) Survey Form and Instruction
Medicare Advantage (MA) Survey Form and Instruction
Medicare Advantage (MA) Survey Form and Instruction
Medicare Advantage (MA) Survey Form and Instruction
Medicare Advantage (MA) Survey Form and Instruction
Medicare Advantage (MA) Survey Form and Instruction
MA-PDP Survey Form and Instruction
MA-PDP Survey Form and Instruction
MA-PDP Survey Form and Instruction
MA-PDP Survey Form and Instruction
MA-PDP Survey Form and Instruction
MA-PDP Survey Form and Instruction
MA-PDP Survey Form and Instruction
MA-PDP Survey Form and Instruction
MA-PDP Survey Form and Instruction
MA-PDP Survey Form and Instruction
MA-PDP Survey Form and Instruction
MA-PDP Survey Form and Instruction
MA-PDP Survey Form and Instruction
Fee-For-Service (FFS) Survey Form and Instruction
Fee-For-Service (FFS) Survey Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202505-0938-018 No material or nonsubstantive change to a currently approved collection 2025-06-17
202504-0938-008 No material or nonsubstantive change to a currently approved collection 2025-04-24 Approved without change
202406-0938-010 Revision of a currently approved collection 2024-06-25
202305-0938-001 Revision of a currently approved collection 2023-05-05 Approved without change
202101-0938-013 Revision of a currently approved collection 2021-02-08 Approved without change
201706-0938-003 Revision of a currently approved collection 2017-07-18 Approved with change
201505-0938-006 Revision of a currently approved collection 2015-06-04 Approved without change
201110-0938-001 Revision of a currently approved collection 2011-10-04 Approved with change
201008-0938-008 Revision of a currently approved collection 2010-08-13 Approved with change
200706-0938-005 Extension without change of a currently approved collection 2007-06-19 Approved without change
200611-0938-012 Revision of a currently approved collection 2006-11-22 Approved without change
200402-0938-006 Extension without change of a currently approved collection 2004-02-18 Approved without change
200103-0938-005 Reinstatement with change of a previously approved collection 2001-03-09 Approved without change
200005-0938-003 Revision of a currently approved collection 2000-05-03 Approved without change
199811-0938-001 Extension without change of a currently approved collection 1998-11-05 Approved without change
199807-0938-006 New collection (Request for a new OMB Control Number) 1998-07-13 Approved without change

OMB Details

Medicare Advantage (MA) Survey

Federal Enterprise Architecture: Health - Health Care Services

Information collection instruments
FormNameElectronic accessType
Form CMS-R-246Medicare Advantage Plan Survey - TagalogFillable PrintableForm and instruction
Form CMS-R-246Medicare Advantage Plan Survey - VietnameseFillable PrintableForm and instruction
Form CMS-R-246Medicare Advantage Plan Survey - SpanishFillable PrintableForm and instruction
Form CMS-R-246Medicare Advantage Plan Survey - KoreanFillable PrintableForm and instruction
Form CMS-R-246Medicare Advantage Plan Survey - ChineseFillable PrintableForm and instruction
Form CMS-R-246Medicare Advantage Plan SurveyFillable PrintableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.