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pdfCrosswalk for Changes to Centers for Medicare and Medicaid Services Transportation
Barriers to Medicare Services for American Indian and Alaska Native Beneficiaries (CMS-xxxx)
Section # on Current CMS- xxxx
(03/11)
Type of Change
Rational for Change
Appendix A: Beneficiary Survey
Add: Questions on telemedicine
(Q 067, 068, 069, and 070)
To accommodate comments
received to Federal Register
announcement.
Appendix A: Beneficiary Survey
Add: word “regular” to checkups To clarify prevention choices in
and “health and nutrition
the items’ options.
education” to choices on Q 026b,
029b, 032b, 036b, 039b, 042b,
046, and 050
Appendix B: Provider Survey
Add: Questions on telemedicine
(Q 052, 053, 054, and 055)
To accommodate comments
received to Federal Register
announcement.
Add: “health education” as a
choice for Q 008
To clarify prevention choice in
the items’ options.
Add: “health education and
nutrition” and “regular
checkups” as choices to Q026.
To provide relevant prevention
choices in the items’ options.
Correct budget
To correct some original
computational errors and to
reduce cost to government.
Supporting Statement, Part A
Section # on
Current CMS-xxx
(10/07)
Type of Change
Rational for Change
Add: Space to collect
EMAIL ADDRESSES
Communicate more effectively
Add: more space to
For office use only
To accommodate dates
Move NOTE: from
Instruction for Completion
to front of Application
Enhance completion of Application
and reduce errors when completing
III TYPE OF LABORATORY
Add: boxes to Physician Office
To establish if lab is a shared lab
VI WAIVED TEST
Add: Identify waived test
performed
To include analyte test systems
or device used in laboratory
VII PPM TEST
Add: Identify PPM test
performed
To be specific about test performed
IX TYPE OF CONTROL
Add: boxes to each type
To determine type of control
I GENERAL
INFORMATION
II TYPE OF CERTIFICATE
REQUESTED
The remainder is minor updates on the accompanying Instructions for Completion based on the
suggestions from State agency and CMS regional offices users.
| File Type | application/pdf |
| File Title | Crosswalk for Changes to Centers for Medicare and Medicaid Services Transportation |
| Subject | transportation barriers, medicare services, American Indian, Alaska Native, medicare beneficiaries |
| Author | CMS |
| File Modified | 2012-03-07 |
| File Created | 2012-03-02 |