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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
Supporting Statement Part A -- MEPS SDOH SAQ and covid.after 30 day frn and sept 30 omb call.final 100820.v2.docx
11/17/2020
Supporting Statement B
Document
Date Uploaded
Supporting Statement Part B -- MEPS SDOH SAQ and covid.after 30 day frn and sept 30 omb call.final 100820.docx
11/17/2020
Supplementary Documents
Title
Document
Document Type
Date Uploaded
Attachment 1 – MEPS-HC Section Summary and Changes
Attachment 1 final draft.09052018..docx
Supplementary Document
09/12/2018
Attachment 2 – HC Why is Participation in MEPS so Important?
Attachment 2 HC Why is Participation in MEPS so Important.pdf
Supplementary Document
09/12/2018
Attachment 3 – HC MEPS: A Survey of Health Care Use and Spending
Attachment 3 HC MEPS A Survey of Health Care Use and Spending.pdf
Supplementary Document
09/12/2018
Attachment 4 – HC What MEPS tells us about…Charts
Attachment 4 HC What MEPS tells us about Charts.docx
Supplementary Document
09/12/2018
Attachment 5 – HC About the MEPS-MPC Authorization Form
Attachment 5 HC About the MEPS MPC Authorization form.pdf
Supplementary Document
09/12/2018
Attachment 6 – HC Data protection is word ONE with MEPS
Attachment 6 HC Data Protection is word ONE with MEPS.pdf
Supplementary Document
09/12/2018
Attachment 7 – HC Respondent Recruitment Video
Attachment 7 HC Respondent Recruitment Video Transcript.pdf
Supplementary Document
09/12/2018
Attachment 8 – HC Important Information About Your Participation in MEPS
Attachment 8 HC Important Information About Your Participation in MEPS.pdf
Supplementary Document
09/12/2018
Attachment 9 – HC MEPS Data Example & FAQs
Attachment 9 HC Data Example and FAQs.docx
Supplementary Document
09/12/2018
Attachment 10 – HC Respondent Letters, Postcards and Notes
Attachment 10 HC Respondent Letters, Postcards and Notes.docx
Supplementary Document
09/12/2018
Attachment 11 – HC MEPS FAQs Brochure
Attachment 11 HC MEPS FAQs Brochure.pdf
Supplementary Document
09/12/2018
Attachment 12 – HC MEPS Monthly Planner
Attachment 12 HC MEPS Monthly Planner.pdf
Supplementary Document
09/12/2018
Attachment 13 – HC MEPS Record Keeper
Attachment 13 HC MEPS Record Keeper.pdf
Supplementary Document
09/12/2018
Attachment 14 – HC Showcards
Attachment 14 HC Showcards.pdf
Supplementary Document
09/12/2018
Attachment 15 – HC Validation Letter
Attachment 15 HC Validation Letter.pdf
Supplementary Document
09/12/2018
Attachment 16 – HC Certificate of Appreciation
Attachment 16 HC Certificate of Appreciation.pdf
Supplementary Document
09/12/2018
Attachment 17 – HC Who Uses MEPS Data
Attachment 17 HC Who Uses MEPS Data.pdf
Supplementary Document
09/12/2018
Attachment 27 – HC MEPS Tip Sheet
Attachment 27 HC MEPS Tip Sheet.pdf
Supplementary Document
09/12/2018
Attachment 28 – HC Tips for Making Your MEPS Interview Easier
Attachment 28 HC Tips for Making Your MEPS Interview Easier.pdf
Supplementary Document
09/12/2018
Attachment 79 – MPC Home Care Provider Authorization Form Package, Phone Data Collection Anticipated
Attachment 79 – MPC Home Care Provider Authorization Form Package, Phone Data Collection Anticipated.doc
Supplementary Document
09/12/2018
Attachment 80 – MPC Home Care Provider Authorization Form Package, Records to be provided via Fax Anticipated
Attachment 80 – MPC Home Care Provider Authorization Form Package, Records to be Provided via Fax Anticipated.doc
Supplementary Document
09/12/2018
Attachment 81 – MPC Home Care Provider Overflow Patient List
Attachment 81 – MPC Home Care Provider Overflow Patient List.docx
Supplementary Document
09/12/2018
Attachment 82 – MPC Home Care Provider Questionnaire for Non-Health Care Providers
Attachment 82 – MPC Home Care Provider Questionnaire for Non-Health Care Providers.docx
Supplementary Document
09/12/2018
Attachment 84 – MPC Office-Based Doctor Provider Authorization Form Package, Records to be provided via Fax Anticipated
Attachment 84 – MPC Office-Based Doctor Provider Authorization Form Package, Phone Data Collection Anticipated.doc
Supplementary Document
09/12/2018
Attachment 85 – MPC Office-Based Doctor Provider Authorization Form Package, Phone Data Collection Anticipated
Attachment 85 – MPC Separately Billing Doctor Provider Authorization Form Package, Phone Data Collection Anticipated.doc
Supplementary Document
09/12/2018
Attachment 86 – MPC Office-Based Doctor Provider Overflow Patient List
Attachment 86 – MPC Office-Based Doctor Provider Overflow Patient List.docx
Supplementary Document
09/12/2018
Attachment 88 – MPC Separately Billing Doctor Provider Authorization Form Package, Records to be provided via Fax Anticipated
Attachment 88 – MPC Hospital Provider Authorization Form Package,.doc
Supplementary Document
09/12/2018
Attachment 89 – MPC Separately Billing Doctor Provider Authorization Form Package, Phone Data Collection Anticipated
Attachment 89 – MPC Separately Billing Doctor Provider Authorization Form Package, Phone Data Collection Anticipated.doc
Supplementary Document
09/12/2018
Attachment 90 – MPC Separately Billing Doctor Provider Overflow Patient List
Attachment 90 – MPC Separately Billing Doctor Provider Overflow Patient List.docx
Supplementary Document
09/12/2018
Attachment 92 – MPC Hospital Provider Authorization Form Package, One Point of Contact for Medical and Patient Account Records
Attachment 92 – MPC Institution Provider Questionnaire.docx
Supplementary Document
09/12/2018
Attachment 93 – MPC Hospital Provider Authorization Form Package, Point of Contact for Medical Records
Attachment 93 – MPC Hospital Provider Authorization Form Package, Point of Contact for Medical Records.doc
Supplementary Document
09/12/2018
Attachment 94 – MPC Hospital Provider Authorization Form Package, Point of Contact for Patient Account Records
Attachment 94 – MPC Hospital Provider Authorization Form Package, Point of Contact for Patient Account Records.doc
Supplementary Document
09/12/2018
Attachment 95 – MPC Hospital Provider Overflow Patient List
Attachment 95 – MPC Hospital Provider Overflow Patient List.docx
Supplementary Document
09/12/2018
Attachment 97 – MPC Letters, Email Templates, and Other Documents
Attachment 97 – MPC Letters, Emal Templates, and Other Documents.docx
Supplementary Document
09/12/2018
Attachment 99 – MPC Pharmacy Provider Authorization Form Package, Records to be provided via Fax Anticipated
Attachment 99 – MPC Pharmacy Provider Authorization Form Package, Records to be Provided via Fax Anticipated.doc
Supplementary Document
09/12/2018
Attachment 100 – MPC Pharmacy Provider Authorization Form Package, Phone Data Collection Anticipated
Attachment 100 – MPC Pharmacy Provider Authorization Form Package, Phone Data Collection Anticipated.doc
Supplementary Document
09/12/2018
Attachment 101 – MPC Pharmacy Provider Overflow Patient List
Attachment 101 – MPC Pharmacy Provider Overflow Patient List.docx
Supplementary Document
09/12/2018
Attachment 102 – MPC Durable Medical Equipment Provider Authorization Form Package
Attachment 102 – MPC Durable Medical Equipment Provider Authorization Form Package.docx
Supplementary Document
09/12/2018
Attachment 103 – MPC Pharmacy Provider Letters, Email Templates, and Other Documents
Attachment 103 – MPC Pharmacy Provider Letters., Email Templates, and Other Documents.doc
Supplementary Document
09/12/2018
Attachment 104 – MPC Veterans Affairs Authorization Form Package
Attachment 104 – MPC Veterans Affairs Authorization Form Package.docx
Supplementary Document
09/12/2018
Response Letter to AANP
response Nurse Pract FRN Comment.msg
Supplementary Document
07/15/2019
Attachment A1 - MEPS New COVID-19 Delays in Receiving Care Items Crosswalk
Attachment A1 - MEPS New COVID-19 Delays in Receiving Care Items Corsswalk.docx
Supplementary Document
11/17/2020
Attachment D - MEPS New Social and Health Experiences SAQ Items Crosswalk
Attachment D - MEPS New Social Determinates of Care SAQ Items Crosswalk v2.docx
Supplementary Document
11/17/2020
Public Comments
Author Name
Comment Document
Author Affiliation
Sponsoring Org.
Type
Category
Date of Comment
Date Comment Received
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.