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

ICR 202504-0938-008

OMB: 0938-0732

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-R-246 Medicare Advantage (MA) Survey Form and Instruction	Modified
Form CMS-R-246 Medicare Advantage (MA) Survey Form and Instruction	Modified
Form CMS-R-246 MA-PDP Survey Form and Instruction	Modified
Form CMS-R-246 MA-PDP Survey Form and Instruction	Modified
Form CMS-R-246 Fee-For-Service (FFS) Survey Form and Instruction	Modified
Form CMS-R-246 Fee-For-Service (FFS) Survey Form and Instruction	Modified
CMS-R-246. Non-Sub Change Request Memo 2025.docx Justification for No Material/Nonsubstantive Change	2025-04-24
CMS-R-246. Non-Sub Change Request Memo 2025.docx Justification for No Material/Nonsubstantive Change	2025-04-24
DRAFT MCAHPS - Crosswalk 2025-2-19.xlsx Supplementary Document	2025-04-08
DRAFT MCAHPS - Crosswalk 2025-2-19.xlsx Supplementary Document	2025-04-08
CMS-R-246_ MCAHPS Supporting Statement A 2025 Non-Sub .docx Supporting Statement A	2025-04-08
CMS-R-246_ MCAHPS Supporting Statement A 2025 Non-Sub .docx Supporting Statement A	2025-04-08
CMS-R-246_MCAHPS Supporting Statement B.docx Supporting Statement B	2024-06-21
CMS-R-246_MCAHPS Supporting Statement B.docx Supporting Statement B	2024-06-21

IC Document Collections

IC ID	Document Title	Status
8404	Medicare Advantage (MA) Survey Form and Instruction	Modified
8404	Medicare Advantage (MA) Survey Form and Instruction	Modified
194258	MA-PDP Survey Form and Instruction	Modified
194258	MA-PDP Survey Form and Instruction	Modified
194257	Fee-For-Service (FFS) Survey Form and Instruction	Modified
194257	Fee-For-Service (FFS) Survey Form and Instruction	Modified