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30-Day Crosswalk
ICR 202309-0938-012 · OMB 0938-1054 · Object 135582900.
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2021 Approved Document 2024 60-Day Document Type of Change Reason for Change Burden Change Part C Enrollment. Page 13, Data Element K. Of the total reported in A, the number of enrollment transactions submitted using the SEP Election Period Code “S” for individuals affected by a contract nonrenewal, plan termination, or service area reduction. Deleted Page 12 of the Part C Reporting Requirements currently states Note: Both Chapter 2 of the Medicare Managed Care Manual and Chapter 3 of the Medicare Prescription Drug Manual outline the enrollment and disenrollment periods (Section 30). CMS provides guidance for MAOs and Part D sponsors’ processing Update of enrollment and disenrollment requests. Both Chapter 2 of the Medicare Managed Care Manual and Chapter 3 of the Medicare Prescription Drug Manual outline the enrollment and disenrollment periods (Section 30) enrollment (Section 40) and disenrollment procedures (Section 50) for all Medicare health and prescription drug plans Consistent with Part C Technical Specifications. None None Supplemental Benefits Reporting Section New New Part C Reporting Requirement Increase None Supplemental Benefits Reporting Section - Element A - PBP Category New New Part C Reporting Requirement Increase None Supplemental Benefits Reporting Section - Element B New Supplemental benefit name, if “Other” (13d, 13e, 13f, or 13i-O), or if name otherwise differs from values provided above. New Part C Reporting Requirement Increase None Supplemental Benefits Reporting Section - Element C - How is the New supplemental benefit offered? (Mandatory (all enrollees eligible), Optional, Mandatory-UF (only enrollees eligible for Uniformity Flexibility), Mandatory-SSBCI (only enrollees eligible for SSBCI), not offered) New Part C Reporting Requirement Increase None Supplemental Benefits Reporting Section - Element D - The unit of utilization used by the plan when measuring utilization (e.g., admissions, visits, procedures, trips, purchases). New New Part C Reporting Requirement Increase None Supplemental Benefits Reporting Section - Element E - The number New of enrollees eligible for the benefit New Part C Reporting Requirement Increase None Supplemental Benefits Reporting Section - Element F - The number New of enrollees who utilized the benefit at least once New Part C Reporting Requirement Increase None Supplemental Benefits Reporting Section - Element G - The total instances of utilizations among eligible enrollees New New Part C Reporting Requirement Increase None Supplemental Benefits Reporting Section - Element H - The median New number of utilizations among enrollees who utilized the benefit at least once New Part C Reporting Requirement Increase None Supplemental Benefits Reporting Section - Element I - The total amount spent by plan for enrollees who utilized the benefit New Part C Reporting Requirement Increase Update New Consistent with HPMS system requirements. Data now None collected through MARx. Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation. None Supplemental Benefits Reporting Section - Element J - The total out- New of-pocket-cost per utilization for enrollees who utilized the benefit New Part C Reporting Requirement Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation. Increase 2021 Approved Document 2024 30-Day Document Type of Change Reason for Change Burden Change Part C Enrollment. Page 13, Data Element K. Of the total reported in A, the number of enrollment transactions submitted using the SEP Election Period Code “S” for individuals affected by a contract nonrenewal, plan termination, or service area reduction. Deleted Page 12 of the Part C Reporting Requirements currently states Note: Both Chapter 2 of the Medicare Managed Care Manual and Chapter 3 of the Medicare Prescription Drug Manual outline the enrollment and disenrollment periods (Section 30). CMS provides guidance for MAOs and Part D sponsors’ processing Update of enrollment and disenrollment requests. Both Chapter 2 of the Medicare Managed Care Manual and Chapter 3 of the Medicare Prescription Drug Manual outline the enrollment and disenrollment periods (Section 30) enrollment (Section 40) and disenrollment procedures (Section 50) for all Medicare health and prescription drug plans Consistent with Part C Technical Specifications. None None Supplemental Benefits Reporting Section New New Part C Reporting Requirement Increase None Supplemental Benefits Reporting Section - Element A - PBP Category New New Part C Reporting Requirement Increase None Supplemental Benefits Reporting Section - Element B New Supplemental benefit name, if “Other” (13d, 13e, 13f, or 13i-O), or if name otherwise differs from values provided above. New Part C Reporting Requirement Increase None Supplemental Benefits Reporting Section - Element C - How is the New supplemental benefit offered? (Mandatory (all enrollees eligible), Optional, Mandatory-UF (only enrollees eligible for Uniformity Flexibility), Mandatory-SSBCI (only enrollees eligible for SSBCI), not offered) New Part C Reporting Requirement Increase None Supplemental Benefits Reporting Section - Element D - The unit of utilization used by the plan when measuring utilization (e.g., admissions, visits, procedures, trips, purchases). New New Part C Reporting Requirement Increase None Supplemental Benefits Reporting Section - Element E - The number New of enrollees eligible for the benefit New Part C Reporting Requirement Increase None Supplemental Benefits Reporting Section - Element F - The number New of enrollees who utilized the benefit at least once New Part C Reporting Requirement Increase None Supplemental Benefits Reporting Section - Element G - The total instances of utilizations among eligible enrollees New New Part C Reporting Requirement Increase None Supplemental Benefits Reporting Section - Element H - The median New number of utilizations among enrollees who utilized the benefit at least once New Part C Reporting Requirement Increase None Supplemental Benefits Reporting Section - Element I - The total net New amount incurred by plan to offer the benefit. New Part C Reporting Requirement Increase Update Consistent with HPMS system requirements. Data now None collected through MARx. None None None Supplemental Benefits Reporting Section - Element J - The type of New payment arrangement(s) the plan used to implement the benefit. The plan may use the categories CMS provides in the Payments to Providers section of the Part C Reporting Requirements. Alternatively, the plan may use other phrases or provide a brief Supplemental Benefits Reporting Section - Element K - How the plan New accounts for the cost of the benefit, including how the plan determines and measures administrative costs, costs to deliver, and any other costs the plan captures. New Part C Reporting Requirement Increase New Part C Reporting Requirement Increase Supplemental Benefits Reporting Section - Element L - The total out- New of-pocket-cost per utilization for enrollees who utilized the benefit New Part C Reporting Requirement Increase
| File Type | application/pdf |
| File Title | Medicare Part C and Part D CY2021 to CY2024 Crosswalk |
| Subject | Data Validation Crosswalk |
| Author | Centers for Medicare and Medicaid Services |
| File Modified | 2023-09-20 |
| File Created | 2023-09-20 |