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pdfCY 2020 High Level Summary of Change or Crosswalk of Changes for
PRA Package CMS 10237: Part C - MA and 1876 Cost Plan Expansion Application
CY 2020
Application
Section
Summary of Change
State Licensure
-Added an upload
Fiscal
Soundness
-Removed 2 Sections of the
MA and Cost plan
application.
Justification for Change
Level of Applicant Burden
I = Increases burden
D – Decreases burden
N – No Change
Category of
Comment
Added an upload for organizations to
60 Day
upload proof of incorporation. (Not
applicable for SAE applicants)
60 Day
MA and Cost Plan
-Removed Financial Oversight Disclosure
section as this information is covered in the
State Licensure section of the application
and is not necessary under fiscal soundness
I
N
-Removed Financial Projections section
from Service Area Expansion (SAE)
applicants because the projections are not
applicable to a SAE Applicant.
Management,
Experience, and
History
-Consolidated three sections
of the application into one
- Added an attestation
-Consolidated Key Personnel section and
the Compliance Plan section of the
application with Experience and History
section in order to streamline application
submission.
-Added attestation 3.1.5 to comply with
regulations as follows: Applicant attests
that the compliance officer identified in the
HPMS contacts is an employee of the
applicant, applicant’s parent organization,
or a corporate affiliate of the applicant in
accordance with 42CFR
422.503(b)(4)(vi)(B)(1).
1
60 Day
I
CY 2020 High Level Summary of Change or Crosswalk of Changes for
PRA Package CMS 10237: Part C - MA and 1876 Cost Plan Expansion Application
CY 2020
Application
Section
Summary of Change
Service Area
Removed 1 upload
SNP HRAT
Removed 1 upload
Justification for Change
-Remove the RPPO Exception to the
Written Agreement upload from the
application.
-Removed the requirement to upload the
HRAT as part of the application
2
60 Day
Level of Applicant Burden
I = Increases burden
D – Decreases burden
N – No Change
D
60 Day
D
Category of
Comment
| File Type | application/pdf |
| File Title | Summary of Changes |
| Author | Skirvin, Ellen C. (CMS/CM) |
| File Modified | 2019-01-02 |
| File Created | 2019-01-02 |