Crosswalk: Exception Request Template

Exception Request Template - Crosswalk.pdf

Triennial Network Adequacy Review for Medicare Advantage Organizations and 1876 Cost Plans (CMS-10636)

Crosswalk: Exception Request Template

OMB: 0938-1346

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Burden Change

Reason for Change

Type of Change

NEW VERSION

OLD VERSION

(title) “CY 2018 Medicare Advantage Health (title) “CY 2018 Medicare Advantage and
Service Delivery Exception Request
1876 Cost Plan Exception Request
Template”
Template”

Rev

No
Received a comment requesting that CMS
adopt nomenclature that clearly identifies
requirements that are applicable to Medicare
cost plans.

“Applicant”

“Organization”

Rev

The term “applicant” no longer applies
because this template will no longer be used
in the application. Replaced “applicant” with
“organization” to account for both Medicare
Advantage organizations and cost plan
organizations. This revision has been made
throughout the template.

“Medicare Advantage Organization” or
“MAO”

“Organization”

Rev

Replaced “Medicare Advantage Organization” No
or “MAO” with “organization” to account for
both Medicare Advantage organizations and
cost plan organizations. This revision has
been made throughout the template.

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesignation.

No


File Typeapplication/pdf
AuthorMitch Bryman
File Modified2017-09-06
File Created2017-09-06

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