Crosswalk

Revisions to Form CMS-10069 MEDICARE WAIVER DEMONSTRATION APPLICATION/UPDATE FORM

Issue #	Page #	Section	Action to be performed	Changes to the Application	Reason for the Change
	3	Application Submission	Revise as follows:	Add: and E-mailed (as provided in the solicitation) in a Microsoft Word or PDF format (after) APPLICATION should be Mailed	Allow for RFPs to be emailed to CMS for going green purposes and ease in review
	3	Application Submission	Revise as follows:	Add: Address mentioned in the demonstration solicitation	Provides applicant how to send in RFP through email
	3	Application Submission	Revise as follows:	Replace: Office of Research, Development and Information, Mail Stop C4-17-27 With: Center for Medicare and Medicaid Innovation, Mail Stop WB-06-05	Office of Research, Development, and Information was folded into CMMI
	1	Section 2A	Revise as follows:	Replace: www.cms.hhs.gov/DemoProjectsEvalRpts/MD/list.asp#TopOfPage. With: http://innovation.cms.gov/initiatives/index.html	New webpage for all CMMI initiatives
	3	Application Submission	Revise as follows	Replace: An unbound original and 2 copies plus an electronic copy on cd-rom must be submitted. Please note that applicants may, but are not required, submit 10 copies to assure that each review panel member receives the application in the manner intended by the applicant (e.g., collated, tabulated, color copies, etc.) With: An unbound original and 2 copies plus an electronic copy via email address provided in the solicitation must be submitted.	Easier submission for applicant

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