Crosswalk

Crosswalk - Submitter Application 12_2_2 and Submitter Authorization 12_2_3 (rev OSORA PRA).xlsx

Collection of Risk Adjustment Data from MA Organizations, Section 1876 Cost HMOS/CMPS, Section 1833 HCPPS, MMPS, and PACE Organizations (CMS-10340)

Crosswalk

OMB: 0938-1152

Document [xlsx]
Download: xlsx | pdf
2016 (old version) 2016a (new version) Type of Change Reason for Change Burden Change
CSSC Operations Submitter Application Instruction - Connectivity Options
All submitters that submit data must establish a connection to the Front-End System through CMSNet provided by Ability Network. CMSNet is the secure network linking all data processing entities. Small plans (contracts with enrollment less than 100,000) that elect to submit data may submit data to the secure CMS website.
CSSC Operations Submitter Application Instruction - Connectivity Options
All submitters that submit data must establish a connection to the Front-End System through CMSNet provided by a CMS approved Network Service Vendor (NSV). CMSNet is the secure network linking all data processing entities. Small plans (contracts with enrollment less than 100,000) that elect to submit data may submit data to the secure CMS website.
Rev Language Update to make Connection network options generic. No
CSSC Operations Submitter Application Instruction - Gentran/TIBCO (MFT)*:
Secure FTP.
Receipt of front-end response report within one business day.
Only for plans with less than 100,000 enrollees.
*Gentran/TIBCO (MFT) is not available to Third Party Submitters and is not an option for MMP Submitters.
CSSC Operations Submitter Application Instruction - Gentran/TIBCO (MFT)*:
Secure FTP.
Receipt of front-end response report within one business day.
Only for plans with less than 100,000 enrollees.
*Gentran/TIBCO (MFT) is not available to Third Party Submitters.
Rev Language update to state that Gentran/TIBCO is not available to Third Party Submitters only. No
CSSC Operations Submitter Authorization Form - Instructions: The following information must be completed by an authorized representative from the plan. This form should not be completed by a PBM or Third Party submitter. The completed form may be submitted online, printed and faxed to 1-803-935-0171 or scanned and sent via email to [email protected] for processing. Please note that all required forms (i.e. EDI Agreement and Submitter Application) must be received by all entities involved in order to complete setup. CSSC Operations Submitter Authorization Form - Instructions: The following information must be completed by an authorized representative from the plan. This form should not be completed by a PBM or Third Party submitter. The completed form may be submitted online, or scanned and sent via email to [email protected] for processing. Please note that all required forms (i.e. EDI Agreement and Submitter Application) must be received by all entities involved in order to complete setup. Rev Language update to clearly state that the CSSC Operations Submitter Authorization Form may be submitted online, or scanned and sent via email. The option to fax is no longer available. No












File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy