Medicare Health Outcomes Survey Field Test (CMS-10861)

OMB 0938-1464

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10861 HOS Field Test Form and Instruction
CMS HOS - Supporting Statement A.docx Supporting Statement A
CMS HOS - Supporting Statement B.docx Supporting Statement B
CMS Response to Public Comments Received for CMS-10861.docx Supplementary Document
HOS Field Test Form and Instruction