2013 Application 60-Day Comment tracker

2013 Application 60-Day Comment tracker.xlsx

Applications for Medicare Part D plans: PDP Plans, MA-PD Plans, Cost Plans, PACE organizations, SAE and EGWP

2013 Application 60-Day Comment tracker

OMB: 0938-0936

Document [xlsx]
Download: xlsx | pdf

Overview

Sheet2
Sheet3


Sheet 1: Sheet2

Comment Number Entity Submitting Comments Subject Matter Summary of Comment Accept/Deny Change







Substantive Comments







General Information







1 United Part D Program Oversight The past performance analysis is unfair to large organizations and to SNP plans. Not Applicable (no change requested) - We appreciate the commenter's concerns, but the past performance methodology is outside the scope of the 2013 application PRA review. We are not considering comments on the methodology at this time.







Benefit Design







2 United MTM Attestations Make the fact that "telehealth" includes telephone consultations explicit. Deny - We specifically declined to define telehealth in the 2012 rule because the Office of the National Coordinator for Health Information Technology was charged with defining and overseeing telehealth standards. We believe that it is sufficiently clear that "telehealth" encompasses all telecommunications technologies, including the telephone.







Marketing/Beneficiary Communications







3 United Attestations Requests that we clarify in attestation #4 which information must be provided annually and at time of enrollment and which need only be provided upon request. Deny - Attestation #3 already lists the information that must be provided annually aand at time of enrollment. Attestation #4 refers to the separate reuquirement that information be made available to beneficiaries at any time upon request.







Pharmacy Access Contracts







4 Various I/T/U Entities I/T/U Pharmacy Addendum Commenters approve of the I/T/U addendum and encourage CMS CCIIO to use the addendum, or something similar, for the Health Insurance Exchanges. Not Applicable (no change requested) - Thank you, but the Health Insurance Exchanges are outside the scope of the Part D Application.








Sheet 2: Sheet3

Comment Number Entity Submitting Comments Subject Matter Summary of Comment Accept/Deny Change
Clarification Comments (comments not on substantive information within the application; CMS will clarify directly with commenters)
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