Summary of Change (Crosswalk)

CY 2021 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

Justification for Change

Category of
Comment

D-SNP State
Medicaid Agency
Contract Matrix

-Modified an attestation

Modified the language in the attestation to
match the regulation.

60 Day

Level of Applicant Burden
I = Increases burden
D – Decreases burden N
– No Change
N

Eligibility,
Enrollment and
Disenrollment

-Modified an attestation

Modified
to
reflect
the
recent
announcement that CMS will be changing
the timeframe for plan sponsor submission
of enrollment and payment certifications
from monthly to quarterly.

60 Day

N

SNP Service Area
Expansion
Application

-Modified Language

The draft application indicates that for
contract year 2021, all Dual Eligible SNPs
(D-SNPs), including those seeking to
expand their service area, must submit a
new State Medicaid Agency Contract
(SMAC) or a current contract with
amendments as well as the applicable DSNP attestations and required uploads to
meet the new D-SNP integration
requirements effective beginning with CY

60 Day

N

2021. Updated the language to clarify the
information

SNP Contract
Status Review
Matrix

-Modified Instruction

Updated the instructions for this matrix,
including updating the matrix header to note
that this also applies for FIDE SNPs. We will
continue to include the requirements for both
FIDE and HIDE SNPs in the one matrix.

60 Day

N

Due Dates for
Applications

-Updated Dates

CMS updated the dates in this section to reflect
CY21

60 Day

N

Administrative
Management

-Updated Date

The two year period prior to 1/1/2021 would
be after 12/31/2018 instead of 12/31/2019.

60 Day

N

Two year
Prohibition

-Updated Date

We believe the correct date should be
12/31/2018 which would reflect the two year
period prior to 1/1/2021.

60 Day

N

Appendix I SNP
Application

-Clarified Instructions

Language need to be modified for clarity

1

60 Day

N