Crosswalk

A D-SNP or I-SNP that makes substantive
DEL
revisions to its existing approved MOC will submit
their off- cycle summary of MOC changes, along
with the red-lined MOC, in the Model of Care
Module in HPMS for NCQA/CMS review and
approval.
The revised version only allows D-SNPs and ISNPs to submit off-cycle MOCs, and not C-SNPs.

As a result of the BBA mandate for annual C-SNP
MOC submissions and based on comments from
SNPs and industry advocates to reduce burden
on C-SNPs, CMS is eliminating the off-cycle MOC
submission process for C-SNPs as believe that
the annual C-SNP MOC submissions will
eliminate the need for C-SNPs to submit off-cycle
MOCs.

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

Burden Change

Reason for Change

Type of Change

2019 (new version)

2016 (old version)
Off-Cycle SubmissionsA SNP that makes substantive revisions to its
existing approved MOC will submit their off- cycle
summary of MOC changes, along with the redlined MOC, in the Model of Care Module in HPMS
for NCQA/CMS review and approval.

This does reduce burden
for C-SNPs in terms of
off-cycle submissions,
however, C-SNPs have
an increase in burden for
the renewal MOCs, for
which they are now
required to submit
annually due to the BBA
requirements.