CMS-10320.Issuer Template Crosswalk

IssuerTemplateCrosswalk.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.Issuer Template Crosswalk

OMB: 0938-1086

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Revisions Crosswalk for Issuer General Info, and Data Entry Forms


Issue #

Page #

Changes to Form

Reason for change

1.

16

Deleted worksheet containing disclosure

It is now located on the State General Info tab

2.

17

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

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

3.

17

Wording was slightly changed in question 3 sub questions 2 and 4.

To help users to better identify where we were referring to

4.

17 and 18

Separated First name and last name on form

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

5.

19

Added Disclosure statement

Didn’t want it on a separate tab

6.

20

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

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


File Typeapplication/msword
AuthorCMS
Last Modified ByCMS
File Modified2010-05-12
File Created2010-05-12

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