Crosswalk

CMS-10143 Crosswalk [rev 12-07-2012].doc

Monthly State File of Medicaid/Medicare Dual Eligible Enrollees (CMS-10143)

Crosswalk

OMB: 0938-0958

Document [doc]
Download: doc | pdf

Crosswalk for Change of Medicare Modernization Act (MMA) Dual Eligible Reporting Application for Re-Certification



Data Element Type of Change Rational for Change
on MMA Dual File

Institutional Status Add: An additional value Section 3309 of the Affordable

Indicator that can be reported Care Act (ACA), Elimination of Cost

to this field to Sharing for Certain Dual Eligibles

indicate a

Home and Community

Based Services

Recipient


More specifically, under: 3. Special Key Fields/User Tips


  1. On pages 7 and 8, included the description of change in reporting of additional value to the INSTITUTIONAL STATUS INDICATOR


  1. On page 14: Actual addition of third potential value that can be reported to this FIELD in the Duals File


This is the only change in the reporting of data within the MMA Dual File.

File Typeapplication/msword
AuthorCMS
Last Modified ByMitch Bryman
File Modified2012-12-07
File Created2012-12-07

© 2024 OMB.report | Privacy Policy