Crosswalk

Attachment C
Paperwork Reduction Act Submission
OMB # 0938 – 0944
CMS-10142
Summary of Changes
The following revisions are in response to Lessons Learned feedback (from industry, contracted
bid reviewers and internal CMS) and contract year 2019 effective provisions of the Medicare
Advantage and Prescription Drug Program. They do not result in a change to the estimated
burden.
1) Updated labels/parameters: Annual update of labels/parameters (ex: CY2018 → CY2019).
Locations: PD Worksheet 1 cell N3, F5, C29:C31, B43
PD Worksheet 7 cell B9, C10:C12
MA Worksheet 1 cell Q3, D8
MA Worksheet 6 cell E14
MSA Worksheet 1 cell P3, D8
MSA Worksheet 4 cell H48, H53
ESRD-SNP Worksheet 1 cell B6, C1, I2, I3
ESRD-SNP Worksheet 2 cell E16:E19
Reason: Update BPT to reference Contract Year 2019 information.
2) Remove input cells.
Locations: MA Worksheet 1 cells B18, B51
MA Worksheet 2 cell B43
MA Worksheet 3 cell B15
MA Worksheet 7 cell B24
MSA Worksheet 1 cells B18, B45
MSA Worksheet 2 cell B37
MSA Worksheet 5 cell B24
ESRD-SNP Worksheet 4 cell B24
PD Worksheet 1 cells D61:G61
PD Worksheet 1 cell B16
PD Worksheet 2 cell L60
PD Worksheet 3 cells B28:N28
PD Worksheet 5 cells M59, O59, and Q59
Reason: Textboxes removed due to information being included in supporting documentation.
Other input removals to improve accuracy/clarity of BPT for CY2019.

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3) Add input cells.
Locations: MA Worksheet 4 cells J107:N107
PD Worksheet 3 cells D52:H52
PD Worksheet 5 F39, G39, H39
Reason: To improve accuracy/clarity of BPT for CY2019.

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