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Showing results for "form".

21. Meps10 (pdf file)
    meps.ahrq.gov/survey_comp/ic_survey/1996/meps10.pdf
    January 01, 1996 - FORM (7-7-97) MEPS-10 MEDICAL EXPENDITURE PANEL SURVEY (INSURANCE COMPONENT) OMB No. 0935-0098: … (Number and street) City Local number, if a union State ZIP Code Telephone number ( ) Page 2 FORM … If you have received Supplemental Sheets (Form MEPS-10(S)) with plan names preprinted in Question B1, … You may make a copy of the Supplemental Sheet, or Section B of this form, if necessary. … You may use photocopies of the Supplemental Sheet or Section B of this form, if necessary.

22. Medical Expenditure Panel Survey - Household Participant Frequently Asked Questions
    meps.ahrq.gov/mepsweb/communication/household_participant_faqs.jsp
    January 01, 2020 - copy of the Record Keeper for your use, there are two versions to choose from, namely: (1) Simple Form … (English) (PDF 89 KB) or Simple Form (Spanish) (PDF 86 KB), which are simple PDF files that people … can print out and use a hard copy, or (2) Fillable Form (English) (PDF 1,001 KB) or Fillable Form

23. Medical Expenditure Panel Survey Publication Details
    meps.ahrq.gov/mepsweb/data_stats/Pub_ProdResults_Details.jsp?pt=Working+Paper&opt=2&id=1054
    May 11, 2012 - Publication date:    May 11, 2012 Description:    Employment-related health coverage is the predominant form … by using data on workers from the Medical Expenditure Panel Survey Household Component (MEPS HC) to form

24. Medical Expenditure Panel Survey Survey Questionnaires
    meps.ahrq.gov/mepsweb/survey_comp/survey.jsp
    December 09, 2022 - measures of health status: the Veteran's RAND 12-item (VR-12) (in 2017 this replaces the Short-Form … The most current data years of the authorization forms are available below. … ; they sign the English forms. … Forms All Authorization Forms Medical Provider Authorization Form Medical Provider Authorization … Form - Spanish Pharmacy Authorization Form Pharmacy Authorization Form - Spanish Years

25. Medical Expenditure Panel Survey Survey Questionnaires
    meps.ahrq.gov/survey_comp/survey.jsp
    December 09, 2022 - measures of health status: the Veteran's RAND 12-item (VR-12) (in 2017 this replaces the Short-Form … The most current data years of the authorization forms are available below. … ; they sign the English forms. … Forms All Authorization Forms Medical Provider Authorization Form Medical Provider Authorization … Form - Spanish Pharmacy Authorization Form Pharmacy Authorization Form - Spanish Years

26. Introducing the Medical Expenditure Panel Survey-Insurance Component with Administrative Records (MEPS-ICAR): Description, Data Construction Methodology, and Quality Assessment (pdf file)
    meps.ahrq.gov/data_files/publications/mr35/mr35.pdf
    September 02, 2022 - Decennial Census data and to Internal Revenue Service (IRS) administrative tax records drawn from W2 forms … and Form 1040s. … While IRS tax records do indicate which firm employs each worker on W2 forms, they do not record the … The linked administrative records are drawn from the full set of each year’s IRS W2 Forms and Form 1040s … firm overall who can be linked to their Form 1040.

27. Methodology Report #35: Introducing the Medical Expenditure Panel Survey-Insurance Component with Administrative Records (MEPS-ICAR): Description, Data Construction Methodology, and Quality Assessment
    meps.ahrq.gov/data_files/publications/mr35/mr35.shtml
    September 01, 2022 - Decennial Census data and to Internal Revenue Service (IRS) administrative tax records drawn from W2 forms … and Form 1040s. … While IRS tax records do indicate which firm employs each worker on W2 forms, they do not record the … The linked administrative records are drawn from the full set of each year's IRS W2 Forms and Form 1040s … firm overall who can be linked to their Form 1040.

28. Context/Flow Specifications for the Overall CAPI Instrument, MEPS-Household Component: Panel 4 (1999-2000) Consolidated Instrument (pdf file)
    meps.ahrq.gov/survey_comp/overall_p4.pdf
    January 01, 2000 - Page does not require timed responses Navigation links Passed Navigation links are not repetitive Forms … Rule Name Status Description Tagged form fields Passed All form fields are tagged Field descriptions … Passed All form fields have description Alternate Text Rule Name Status Description Figures alternate

29. Context/Flow Specifications for the Overall CAPI Instrument, MEPS-Household Component: Panel 10 (2005-2006) Consolidated Instrument (pdf file)
    meps.ahrq.gov/survey_comp/overall_p10.pdf
    January 01, 2006 - Page does not require timed responses Navigation links Passed Navigation links are not repetitive Forms … Rule Name Status Description Tagged form fields Passed All form fields are tagged Field descriptions … Passed All form fields have description Alternate Text Rule Name Status Description Figures alternate

30. Context/Flow Specifications for the Overall CAPI Instrument, MEPS-Household Component: Panel 2 (1997 – 1998) Consolidated Instrument (pdf file)
    meps.ahrq.gov/survey_comp/overall_p2.pdf
    January 01, 1998 - Page does not require timed responses Navigation links Passed Navigation links are not repetitive Forms … Rule Name Status Description Tagged form fields Passed All form fields are tagged Field descriptions … Passed All form fields have description Alternate Text Rule Name Status Description Figures alternate

31. Context/Flow Specifications for the Overall CAPI Instrument, MEPS-Household Component: Panel 8 (2003-2004) Consolidated Instrument (pdf file)
    meps.ahrq.gov/survey_comp/overall_p8.pdf
    January 01, 2004 - Page does not require timed responses Navigation links Passed Navigation links are not repetitive Forms … Rule Name Status Description Tagged form fields Passed All form fields are tagged Field descriptions … Passed All form fields have description Alternate Text Rule Name Status Description Figures alternate

32. Context/Flow Specifications for the Overall CAPI Instrument, MEPS-Household Component: Panel 9 (2004-2005) Consolidated Instrument (pdf file)
    meps.ahrq.gov/survey_comp/overall_p9.pdf
    January 01, 2005 - Page does not require timed responses Navigation links Passed Navigation links are not repetitive Forms … Rule Name Status Description Tagged form fields Passed All form fields are tagged Field descriptions … Passed All form fields have description Alternate Text Rule Name Status Description Figures alternate

33. Context/Flow Specifications for the Overall CAPI Instrument, MEPS-Household Component: Panel 7 (2002-2003) Consolidated Instrument (pdf file)
    meps.ahrq.gov/survey_comp/overall_p7.pdf
    January 01, 2003 - Page does not require timed responses Navigation links Passed Navigation links are not repetitive Forms … Rule Name Status Description Tagged form fields Passed All form fields are tagged Field descriptions … Passed All form fields have description Alternate Text Rule Name Status Description Figures alternate

34. Context/Flow Specifications for the Overall CAPI Instrument, MEPS-Household Component: Panel 1 (1996 – 1997) Consolidated Instrument (pdf file)
    meps.ahrq.gov/survey_comp/overall_p1.pdf
    January 01, 1997 - Page does not require timed responses Navigation links Passed Navigation links are not repetitive Forms … Rule Name Status Description Tagged form fields Passed All form fields are tagged Field descriptions … Passed All form fields have description Alternate Text Rule Name Status Description Figures alternate

35. Context/Flow Specifications for the Overall CAPI Instrument, MEPS-Household Component: Panel 5 (2000-2001) Consolidated Instrument (pdf file)
    meps.ahrq.gov/survey_comp/overall_p5.pdf
    January 01, 2001 - Page does not require timed responses Navigation links Passed Navigation links are not repetitive Forms … Rule Name Status Description Tagged form fields Passed All form fields are tagged Field descriptions … Passed All form fields have description Alternate Text Rule Name Status Description Figures alternate

36. Context/Flow Specifications for the Overall CAPI Instrument, MEPS-Household Component: Panel 11 (2006-2007) Consolidated Instrument (pdf file)
    meps.ahrq.gov/survey_comp/overall_p11.pdf
    January 01, 2007 - Page does not require timed responses Navigation links Passed Navigation links are not repetitive Forms … Rule Name Status Description Tagged form fields Passed All form fields are tagged Field descriptions … Passed All form fields have description Alternate Text Rule Name Status Description Figures alternate

37. Context/Flow Specifications for the Overall CAPI Instrument, MEPS-Household Component: Panel 12 (2007-2008) Consolidated Instrument (pdf file)
    meps.ahrq.gov/survey_comp/overall_p12.pdf
    January 01, 2008 - Page does not require timed responses Navigation links Passed Navigation links are not repetitive Forms … Rule Name Status Description Tagged form fields Passed All form fields are tagged Field descriptions … Passed All form fields have description Alternate Text Rule Name Status Description Figures alternate

38. Methodology Report #29: Outpatient Prescription Drugs: Data Collection and Editing in the 2011 Medical Expenditure Panel Survey
    meps.ahrq.gov/data_files/publications/mr29/mr29.shtml
    March 12, 2014 - Signed authorization forms allow pharmacies to respond to the Pharmacy Component (PC) of MEPS when it … interviews collecting information about medication obtained in 2011, 69.7 percent of pharmacy permission forms … During the second, third, fourth, and fifth HC interviews, sample members are asked to sign permission forms … Conditional on having obtained 69.7 percent of signed permission forms sought in the household interview … the Pharmacy Component is derived from all persons in the Household Component who signed permission forms

39. Methodology Report #29: Outpatient Prescription Drugs: Data Collection and Editing in the 2011 Medical Expenditure Panel Survey (pdf file)
    meps.ahrq.gov/data_files/publications/mr29/mr29.pdf
    March 12, 2014 - Signed authorization forms allow pharmacies to respond to the Pharmacy Component (PC) of MEPS when it … interviews collecting information about medication obtained in 2011, 69.7 percent of pharmacy permission forms … During the second, third, fourth, and fifth HC interviews, sample members are asked to sign permission forms … Conditional on having obtained 69.7 percent of signed permission forms sought in the household interview … the Pharmacy Component is derived from all persons in the Household Component who signed permission forms

40. Medical Expenditure Panel Survey Medical Provider Component (MPC) Glossary (pdf file)
    meps.ahrq.gov/survey_comp/appendix_d_glossary.pdf
    December 31, 2020 - AF (Authorization Form): Consent form signed by a household respondent during one of the household interviews … Authorization Form: See AF. … Event Forms: Data collection forms used in the MPC to collect information about medical events. … Mental Health Counseling (Psychotherapy): A treatment technique for certain forms of mental disorders … Permission Form: The Authorization Form complies with the requirements of the Health Insurance Portability