Crosswalk

Crosswalk_08.13.19..xlsx

Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516(a) (CMS-10261)

Crosswalk

OMB: 0938-1054

Document [xlsx]
Download: xlsx | pdf
2020 60 day document 2020 30 day document Type of Change Reason for Change Burden Change
Data Element A: Does your organization offer Telehealth either as a standard benefit or through a demonstration? “Yes” or “No” only Data Element A: Does your organization offer additional Telehealth benefits? “Yes” or “No” only Clarification Changes made in response to 60 day comment. None
Data Element B: If yes, please identify the telehealth specialty offered. [text] Data Element B: If yes, list the number of specialty providers that offer additional Telehealth benefits. Clarification Changes made in response to 60 day comment. None
Data Element C:List the County and State for each Telehealth Specialty listed above. If a Telehealth provider serves enrollees from multiple counties in the service area, then count the provider multiple times with the appropriate state and county. [text] Data Element C: Identify the telehealth specialty offered from the providers listed in Element B. [text] New Changes made in response to 60 day comment. None
Data Element C:List the County and State for each Telehealth Specialty listed above. If a Telehealth provider serves enrollees from multiple counties in the service area, then count the provider multiple times with the appropriate state and county. [text] Relabled as data Element D Update Change made in response to adding a new data element C. None
Data Element D Relabled as Data Element E Update Change made in response to adding a new data element C. None
Data Element E Relabled as Data Element F Update Change made in response to adding a new data element C. None
Data Element F Relabled as Data Element G Update Change made in response to adding a new data element C. None
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy