MCHAPS Material

The Medicare Consumer Assessment of Healthcare Providers and Systems (MCAHPS) survey is an essential tool for evaluating Medicare Advantage (MA) and Prescription Drug Plan (PDP) enrollees' satisfaction with their health plans and providers.

MCAHPS overview:

The MCAHPS survey remains a critical part of the Medicare Advantage program, providing valuable insights into enrollees' experiences with their health plans. In 2025, Medicare Advantage and PDP contracts with 600 or more enrollees will still be required to conduct the survey.

A sample of Medicare enrollees—who are at least 18 years old, have been continuously enrolled for six+ months, and are living in the U.S.—will be selected to participate. CMS uses its monthly enrollment data to identify eligible participants, ensuring a broad and representative sample. Enrollees who are institutionalized at the time of the sample draw will be excluded from the survey.

While participation is mandatory for larger contracts, smaller plans with fewer than 600 enrollees can still voluntarily participate. Whether the survey is mandatory or voluntary, the results will play a role in determining the plan’s Medicare Star Ratings.