Response to 30-day Comments

30-Day Comment Response Document.xlsx

Medicare Part C and Part D Data Validation (42 CFR 422.516(g) and 423.514(g)) (CMS-10305)

Response to 30-day Comments

OMB: 0938-1115

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2018 DV 30-Day Comment Response Document























Detailed Summary of Comments










Section Comment Commenter's Recommendation CMS Response Revised Documents Revised Burden Estimates
OD/RC FDCF and Appendix B 2e, RSC-5.j and Standard 5.j in Appendix B 5.j Data Integrity check states 'Verify that there is a valid value submitted for date of original disposition as MM/DD/YYY format (Data Element
6.26). [Data Element 6.26] Typo? Date format should be MMDDYYYY
We are seeking clarification. Correction has been made. Yes No
SNP Appendix J FDCF FINAL_01182018.pdf 73 / 2d 2d does not have a RSC 2d is missing a RSC
number. Consider adding a RSC number to 2d
We are seeking clarification. Thank you for brining this to our attention. We will evaluate this for next year. No No
CD/RD Appendix J FDCF 3 CDR Measure Draft FDCF contains duplicate language related to pharmacy transactions in both 2.e, RSC-5.e & 2.e, RSC-5f. We believe Standard 2.e, RSC-5.f: The following numbers do not exceed the total number of pharmacy transactions rejected (Data Element 2.A) is intended for Coverage Determinations. To align with the Medicare Part C and Part D Reporting Requirements Data Validation Procedure Manual Appendix B: Data Validation Standards, suggest an update to the final Appendix
J FDCF, Standard 2.e, RSC-5.f to state: The following numbers do not exceed the total number of coverage determinations including exceptions (Data
Element 2.A).
We are seeking clarification. Correction has been made. Yes No
CD/RD Appendix J FDCF 12 CDR Measure Draft FDCF DV Standard 2.e, RSC-17.j states: Verifythat redetermination requests that are withdrawn or dismissed are not included in the count of total redeterminations. [Data Element 3.A] but it contradicts with DV Standard 2.e, RSC-5.g which states the following: Number of redeterminations by outcome (Data Element 3.E + Data Element 3.F + Data Element 3.G + Data Element H + Data Element I) is equal to total number of redeterminations (Data Element 3.A). To align with the Medicare Part C and Part D Reporting Requirements Data Validation Procedure Manual Appendix B: Data Validation Standards, suggest
an update to the final Appendix J FDCF, Standard 2.e, RSC-17.j to state: Verify that redetermination requests that are withdrawn or dismissed are not included in the count of total redeterminations. [Data Element 3.A]
We are seeking clarification. Correction has been made. Yes No
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