OMB control number

Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey for the Merit-Based Incentive Payment System (MIPS) (CMS-10450)

OMB 0938-1222 · HHS/CMS.

OMB 0938-1222

Section 1848(q) of the Social Security Act, as amended by section 101 of the Medicare Access and CHIP Reauthorization Act of 2015, authorizes the establishment of a Merit-based Incentive Payment System (MIPS) for eligible clinicians. Beginning in CY 2017, eligible clinicians are required to collect and submit data on four performance categories to CMS (quality, cost, advancing care information and improvement activities). This program replaces and consolidates portions of the PQRS, Value-based Modifier, and the Medicare EHR Incentive Program. The Act also establishes a second track, Advanced Alternative Payment Models (APMs) for clinicians to participate in instead of MIPS. The CAHPS survey information is used for quality reporting to collect data on fee-for-service Medicare beneficiaries’ experiences of care with eligible clinicians participating in MIPS, the Physician Compare website, and annual statistical reports describing MIPS data for all MIPS eligible clinicians.

The latest form for Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey for the Merit-Based Incentive Payment System (MIPS) (CMS-10450) expires 2026-08-31 and is listed under ICR 202401-0938-011.

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202607-0938-006 Revision of a currently approved collection 2026-07-17
202401-0938-011 Revision of a currently approved collection 2024-02-15 Approved with change
202107-0938-012 Revision of a currently approved collection 2021-07-21 Approved with change
202102-0938-018 Revision of a currently approved collection 2021-02-26 Approved without change
201812-0938-014 Extension without change of a currently approved collection 2018-12-13 Approved without change
201807-0938-014 Revision of a currently approved collection 2018-09-11 Comment filed on proposed rule and continue
201712-0938-014 Revision of a currently approved collection 2017-12-20 Approved with change
201708-0938-001 Revision of a currently approved collection 2017-08-01 Comment filed on proposed rule and continue
201611-0938-001 Revision of a currently approved collection 2016-11-02 Approved with change
201606-0938-002 Revision of a currently approved collection 2016-06-07 Comment filed on proposed rule and continue
201303-0938-016 New collection (Request for a new OMB Control Number) 2013-03-22 Approved with change

OMB Details

CAHPS for MIPS Survey Beneficiary Participation

Federal Enterprise Architecture: Health - Health Care Services

Information collection instruments
FormNameElectronic accessType
Form CMS-10450Mail SurveyFillable FileableForm
Form CMS-10450CAHPS for MIPS CATI ScriptFillable FileableForm and instruction

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