CMS-10320.State Template Crosswalk

CMS-10320.StateTemplateCrosswalk.doc

Health Care Reform Insurance Web Portal and Supporting Authority Contained in Sections 1103 and 10102 of The Patient Protection and Affordability Care Act, P.L. 111-148 (PPACA)

CMS-10320.State Template Crosswalk

OMB: 0938-1086

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Revisions Crosswalk for State General Info, and Data Entry Form


Issue #

Page #

Changes to Form

Reason for change

1.

14

Deleted worksheet containing disclosure

It is now located on the State General Info tab

2.

15

Added Disclosure statement

Didn’t want it on a separate tab

3.

15

Added Validate, Validate&Finalize, and Format & Print Preview Buttons

Needed them to allow state data entry person to validate their document

4.

15

Separated First name and last name on form

Thought it would be more clear to the person, plus easy to collect in database

5.

20

Added Validate, Validate&Finalize, and Format & Print Preview Buttons

Needed them to allow state data entry person to validate their document

6.

20

Changed cell wording for Name, Phone Number, Email under heading Issuer Data Submission contact

508 reasons

7.

20

Changed cell wording for Fee-for-service, HMO, PPO, EPO, POS, Other under No. of Products offered

508 reasons


File Typeapplication/msword
AuthorCMS
Last Modified ByCMS
File Modified2010-05-06
File Created2010-05-06

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