Medicare CAHPS® Requirements

30.3 - Medicare CAHPS® Requirements (Rev. 117, Issued: 08-08-14, Effective: 08-08-14, Implementation: 08-08-14) The following organizations types of MAOs are included in the CAHPS® survey administration provided that they have a minimum enrollment of 600 eligible members as of July 1st of the previous year. • All MA organizations, including all coordinated care contracts, PFFS, and MSA contracts. • §1876 cost contracts even if they are closed for enrollment. • Employer/union only contracts. The Programs of All Inclusive Care for the Elderly (PACE) and HCPP 1833 cost contracts are excluded from the CAHPS® administration. Medicare Advantage organizations and §1876 cost contracts are required to contract with an approved MA & PDP CAHPS® vendor for the survey administration. A list of approved survey vendors is available on www.MA-PDPCAHPS.org. All approved survey vendors are trained by the CMS CAHPS® Survey Coordination team. CMS issues HPMS memorandums about the CAHPS® survey each year. If an approved CAHPS® vendor does not submit a contract’s CAHPS® data by the data submission deadline, the contract will automatically receive a rating of one star for the required CAHPS® measures for the data that are updated on Medicare Plan Finder (in the fall) which also impacts the MA Quality Bonus Payments. For additional information on the CAHPS® survey, please email mp- cahps@cms.hhs.gov.