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 2016 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: CY2015 → CY2016).
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 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
Reason: Update BPT to reference Contract Year 2016 information.
2) Remove input cells.
Locations:
Reason: To improve accuracy/clarity of BPT for CY2016.
3) Remove non-input (calculated) cells.
Locations: MA Worksheet 4 cell O127, R127
Reason: To improve accuracy/clarity of BPT for CY2016.
4) Add non-input (calculated) cells.
Locations: PD Worksheet 4 cell G33, G34, G36, G39, G40, G42, G43, G45, G46, G49, G50
ESRD-SNP Worksheet 3 cell G11

Reason: To improve accuracy/clarity of BPT for CY2016.
5) Add input cells.
Locations: PD Worksheet 3 cell D47, D48
PD Worksheet 5 cell M34

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MA Worksheet 4 cell M105, M106
MSA Worksheet 4 cell G54, G55, G56
ESRD-SNP Worksheet 2 cell G43, G44, G45
Reason: To improve accuracy/clarity of BPT for CY2016.
6) Change calculated cells to input cells
Locations: MA Worksheet 4 cell H49, H50, H51, H52, H53, H54, H55, H56, H57, H58, H59,
H60, H61, H62, H63, H64, H65, H66
Reason: To improve accuracy/clarity of BPT for CY2016
7) Change input cells to calculated cells
Locations: PD Worksheet 4 cell E34, I34
PD Worksheet 5 cell K37, M37, K47
PD Worksheet 7 cell C47
PD Worksheet 1 cell K12 (calculation can still be overwritten as input)
MA Worksheet 1 cell N14 (calculation can still be overwritten as input)
MA Worksheet 6 cell E55
MSA Worksheet 3 cell D28
Reason: To improve accuracy/clarity of BPT for CY2016

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

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