To ensure the QIOs are effectively meeting their goals, CMS has historically collected patient experience information through a survey of beneficiaries who have interacted directly with a QIO representative. In this way, CMS assesses the degree to which the QIOs are achieving the above program requirements; provides feedback to the QIOs to support them in improving the services they deliver to Medicare beneficiaries; and measures the degree to which the QIOs are meeting their contractual obligations as laid out in their SOW. CMS must continue to collect reliable and rich data on the experiences of Medicare beneficiaries. The nature of the data collected must also evolve as QIO contract changes so that CMS is adequately capturing how, when, and why QIOs are interacting with beneficiaries and beneficiary reports on their related experiences.
The latest form for Beneficiary and Family Centered Data Collection (CMS-10393) expires 2021-02-28 and can be found here.
Document Name |
---|
Form and Instruction |
Supporting Statement B |
Supporting Statement A |
Approved with change |
Revision of a currently approved collection | 2023-10-30 | |
Extension without change of a currently approved collection | 2020-10-01 | ||
Approved with change |
Revision of a currently approved collection | 2017-07-06 | |
Approved without change |
Extension without change of a currently approved collection | 2015-09-25 | |
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2013-05-01 | |
Approved with change |
Existing collection in use without an OMB Control Number | 2012-04-03 | |
Withdrawn |
Existing collection in use without an OMB Control Number | 2012-03-13 |