Crosswalk

Attachment C
Paperwork Reduction Act Submission
OMB # 0938 – 0944
CMS-10142
Summary of Changes
The following revisions are in response to Lessons Learned feedback (from industry, contracted
bid reviewers and internal CMS) and contract year 2015 effective provisions of the Medicare
Advantage and Prescription Drug Program. They do not result in a change to the estimated
burden.
1) Updated labels/parameters: Annual update of labels/parameters (ex: CY2014 → CY2015).
Locations: PD Worksheet 1 cell N3, F5, C29:C31, B43
PD Worksheet 7 cell B9, C10:C12
MA Worksheet 1 cell Q3, D8
MA Worksheet 4 cell AH20:AH24
MA Worksheet 5 cell L16, L26
MA Worksheet 6 cell E14
MSA Worksheet 1 cell P3, D8
MSA Worksheet 4 cell H48, H53
ESRD-SNP Worksheet 1 cell B6, C1, I2, I3
ESRD-SNP Worksheet 2 cell E16:E19
MA Ratebook sheet (used in MA Workbook 5)
MA Statutory Rates sheet (used in MA Workbook 5)
MSA Ratebook sheet (used in MSA Workbook 3)
ESRD-SNP Ratebook sheet (used in ESRD-SNP Workbook 1)
Reason: Update BPT to reference Contract Year 2015 information.
2) Remove input cells.
Locations: PD Worksheet 1 cells E48:F51, M62:M64
PD Worksheet 2 cells J69:J71
MA Worksheet 1 cells P63:P65
MA Worksheet 4 cells M99:M101
MA Worksheet 7 cells C17:G36, I17:K36, C40:G59, I40:K59, C63:G82, I63:K82,
C86:G105, I86:K105, C109:G128, I109:K128
MSA Worksheet 4 cells G65:G67
MSA Worksheet 5 cells C17:G36, I17:K36, C40:G59, I40:K59, C63:G82, I63:K82,
C86:G105, I86:K105, C109:G128, I109:K128
ESRD-SNP Worksheet 2 cells G52:G54
ESRD-SNP Worksheet 4 cells C17:G36, I17:K36, C40:G59, I40:K59, C63:G82,
I63:K82, C86:G105, I86:K105, C109:G128, I109:K128
Reason: To improve accuracy/clarity of BPT for CY2015.

3) Remove non-input (calculated) cells.
Locations: PD Worksheet 2 cell H77
MA Worksheet 4 cell L109
MA Worksheet 7 cells H17:H36, L17:M36, H40:H59, L40:M59, H63:H82,
L63:M82, H86:H105, L86:M105, H109:H128, L109:M128
MSA Worksheet 4 cell G55
MSA Worksheet 5 cells H17:H36, L17:M36, H40:H59, L40:M59, H63:H82,
L63:M82, H86:H105, L86:M105, H109:H128, L109:M128
ESRD-SNP Worksheet 2 cell F42
ESRD-SNP Worksheet 4 cells H17:H36, L17:M36, H40:H59, L40:M59, H63:H82,
L63:M82, H86:H105, L86:M105, H109:H128, L109:M128
Reason: To improve accuracy/clarity of BPT for CY2015.
4) Add non-input (calculated) cells.
Locations: PD Worksheet 2 cells E65, G65, J65, M7
PD Worksheet 3 cell N7
PD Worksheet 4 cell L7
PD Worksheet 5 cell Q7
PD Worksheet 6 cell K6
PD Worksheet 6A cell K6
PD Worksheet 7 cell J7
MA Worksheet 4 cells O104, R104
MA Worksheet 5 cells H38, I38
MA Worksheet 7 (new cells D21:J21)
MSA Worksheet 3 cell G38, H38
MSA Worksheet 5 (new cells D21:J21)
ESRD-SNP Worksheet 4 (new cells D21:J21)
Reason: To improve accuracy/clarity of BPT for CY2015.
5) Add input cells.
Locations: PD Worksheet 1 cells G52, N7
PD Worksheet 2 cells F65, H65, I65
MA Worksheet 1 cell K60
MA Worksheet 4 cell H104
MA Worksheet 5 cells E38, F38
MSA Worksheet 3 cells E38, F38, I13
MSA Worksheet 4 cell G42
ESRD-SNP Worksheet 2 cell D47
Reason: To improve accuracy/clarity of BPT for CY2015.
6) Change calculated cells to input cells
Locations: PD Worksheet 1 cells G48:G52
7) Move location of input cells
Locations: MA Worksheet 3 cell S67 moves to S26; Cells S26:S65 move to S27:S66

8) Revise labels.
Locations: MA Worksheet 5 cell B38
MSA Worksheet 3 cell B38
Reason: To improve accuracy/clarity of BPT for CY2015.