Crosswalk

PRA-nonsubstantive change.xlsx

Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516(a) (CMS-10261)

Crosswalk

OMB: 0938-1054

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2016 (old version) 2017 (new version) Type of Change Reason for Change Burden Change
Enrollment Verfication Calls for Private Fee for Service Plans Reporting Requirement has been suspended. Rev The updated guidance in Section 70.7 of the Medicare Marketing Guidelines (MMG) gives Medicare Advantage and Private Fee For Service plans other options to complete the enrollment verification process, apart from a phone call. Plans are permitted to use email, telephone or direct mail. This new guidance was released in June 2014  in the 2015 MMG.  As a result, we believe that this reporting requirement is no longer a necessary element in monitoring the Part C program. The number of plans that reported this as a means of enrollment verification in 2015 was zero. No




















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