| 2016 (old version) |
2017 (new version) |
Type of Change |
Reason for Change |
Burden Change |
| N/A |
Enrollment: 1Q-1S: Should reference "1P" instead of "1A" |
Rev |
Provide technical clarification. |
No |
| N/A |
Improving Drug Utilization Review Controls: G&H : Revised lettering to state, "overridden by pharmacist at the pharmacy". |
Rev |
Provide technical clarification. |
No |
| N/A |
Improving Drug Utilization Control: Introduction: CMS clarified the introductory language. |
Rev |
Provide technical clarification. |
No |
| N/A |
Improving Drug Utilization Review Controls: Q: Of the total reported in element O, the number of hard edit claim rejections that resulted in coverage determination requests. |
Del |
This data collection is no longer necessary for moitoring purposes. |
No |
| N/A |
Improving Drug Utilization Review Controls: S: Of the total reported in element O, the number of claims resolved and paid at the POS (either through a favorable decision through the coverage determination or appeals process, or other mechanism). |
Del |
This data collection is no longer necessary for moitoring purposes. |
No |
| Coverage Determinations and Exceptions: 1 K-S |
Coverage Determinations and Exceptions: K-S: Reformatted into a table to clarify subsets of data, and added supplementary data elements. |
Rev |
Provide technical clarification and added data collection. |
Yes |