Crosswalk - PERM Round 1 and 2 Proposal Submission

Crosswalk for round 1 and 2 proposal.xlsx

Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions

Crosswalk - PERM Round 1 and 2 Proposal Submission

OMB: 0938-1148

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Round 1 (Oct 2013 - Mar 2014) Round 2 (Apr - Sept 2014) Type of Change Reason for Change Burden Change
Medicaid and CHIP Eligibility Review Pilot Sampling Plan Template Round 2 Medicaid and CHIP Eligibility Review Pilot Proposal Template Rev More accurate title and identifies the specific round. No
Section headings identified with a description only Section headings identified with a description and letter and each item under the heading identified with a number. Rev Easier to identify each section No
Administrative title removed and informaion incorporated into General Information Section A. GENERAL INFORMATION - Additional information requested: (2) Pilot version & (10) Explain hoe the above entities are independent Rev Lessons learned from the first round, it was difficult to track revisions made to the original proposal so by adding the Pilot version tracking is easier. Guidance requires that the agency performing the reviews and the agency making the eligibility determinations are separate, during the first round we were constantly asking states to provide this information. Yes, requires a minimal explanation of 2 to 3 sentences
Not in Round 1 B. BACKGROUND INFORMATION - Additional question (2) on the date state implemented MAGI redetermination, these were not a part of round 1. Rev Lessons learned from the first round, these questions were moved from under sampling because it was determined this was a more logical grouping for them Yes, requires state to include a date
SAMPLING C. SAMPLING UNIT Rev Lessons learned from the first round, these questions were grouped together in a more logical sections. In the first round states were not including this information in the proposals because they were unclear on the information being requested. This caused used to request clarification from the states and revisions of their pilot proposals. No
SAMPLING D. SAMPLING FRAME CONSTRUCTION Add Lessons learned from the first round, these questions were grouped together in a more logical sections. In the first round states were not including this information in the proposals because they were unclear on the information being requested. This caused used to request clarification from the states and revisions of their pilot proposals. No
SAMPLING E. SAMPLING FRAME TIME FRAME Add Lessons learned from the first round, these questions were grouped together in a more logical sections. In the first round states were not including this information in the proposals because they were unclear on the information being requested. This caused used to request clarification from the states and revisions of their pilot proposals. No
SAMPLING F. SAMPLING FRAME EXCLUSIONS Add Lessons learned from the first round, these questions were grouped together in a more logical sections. In the first round states were not including this information in the proposals because they were unclear on the information being requested. This caused used to request clarification from the states and revisions of their pilot proposals. No
SAMPLING G. SAMPLING FRAME QUALITY CONTROL Add Lessons learned from the first round, these questions were grouped together in a more logical sections. In the first round states were not including this information in the proposals because they were unclear on the information being requested. This caused used to request clarification from the states and revisions of their pilot proposals. No
SAMPLING H. SAMPLING Add Lessons learned from the first round, these questions were grouped together in a more logical sections. In the first round states were not including this information in the proposals because they were unclear on the information being requested. This caused used to request clarification from the states and revisions of their pilot proposals. No
CASE REVIEW I. CASE REVIEW Rev Lessons learned from the first round, questions asked under the Results section in Round 1 were incorporated because it was logical for them to be in this section because states review process should be able to respond to these questions No
PAYMENT J. PAYMENT REVIEW Rev Letter added for easier identification of section No
RESULTS Removed Rev Incorporated in case review - more logical grouping No
TEST CASE RESULTS Removed Rev This information no longer being captured on this template No
ADDITIONAL COMMENTS K. ADDITIONAL COMMENTS Rev Letter added for easier identification of section No
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