CMS-10380 - Crosswalk_ICR_for_Grants_to_States_for_Rate_Review

CMS-10380 - Crosswalk_ICR_for_Grants_to_States_for_Rate_Review.docx

Cycle I, II, and III - "Grants to Support States in Health Insurance Rate Review and Pricing Transparency" Reporting

CMS-10380 - Crosswalk_ICR_for_Grants_to_States_for_Rate_Review

OMB: 0938-1121

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Information Collection Requirements Contained in the Grants to States for Rate Review

Cycle I, Cycle II, and Cycle III

OMB- Control No. 0938-1121



Rate Review Grant Program Detailed Rate Filing Data "Data Dictionary"


SERFF Tracking Number/Rate Filing ID:

  • Clarified the description in order to more clearly denote that this data can be derived from the NAIC/SERFF data system or another state-specific rate filing system.


Product Type/Type of Insurance:

  • The field “Product Type” was renamed “Type of Insurance,” in order to be consistent with the way in which the NAIC/SERFF describes this data. In addition, the description was clarified in order to more clearly reference the specific NAIC/SERFF field that this data can be derived from.


Plan ID:

  • Renamed “Plan ID” to reflect the current CCIIO terminology, specifically “Standard Component ID”.

  • Updated data submission requirements in order to make this field optional, rather than mandatory.


Plan name:

  • Updated data submission requirements in order to make this field optional, rather than mandatory.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSarah Norman
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File Created2021-01-28

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