Crosswalk

2015 (old version)	2018 (new version)	Type of Change	Reason for Change	Burden Change
MMA State File Specification Data Dictionary	Medicare Advantage Prescription Drug State User Guide, version 7.0, February 2018	Rev	The State User Guide in addition to the MARx UI system now contains information about the data files that are exchanged between the States and CMS to submit the monthly dual-eligible enrollment, and to request eligibility, entitlement, and enrollment information.	No
general formatting/editing	general formatting/editing	Rev	changes in formatting due to additional information editing sentences for clarity & flow	No
Data collection for MMA implementation will be met by states	CMS data collection for MMA implementation will be met by each of the fifty states and the District of Columbia Medicaid Agencies (hereafter referred to as states)	Rev	clarification	No
Multiple files	multiple MMA files	Rev	specify type of file	No
Dual eligible enrollment	dual eligible enrollment phased down state calculation state low income subsidy (LIS) application	Rev	expanded program needs	No
monthly file	monthly MMA file	Rev	clarification	No
individual	beneficiary	Rev	move to person centered language/language sensitivites	No
in the case where in a given month, multiple records were submitted for the same individual in multiple file submittals, the last record submitted for that indivdual shall be used to determine the final effect on the phase down count.	One of the purposes for which the state's monthly MMA file submission will be used is to calculate the state's phase down contribution payment. The phase down process requires a montly count of all full benefit dual eligibles with an active Part D plan enrollment in the month. CMS will make this selection of records using dual eligibility status codes contained in the person-month record to identify all full-benefit dual eligibles.	Rev	MMCO recommended method of identifying dual eligible beneficiaries. Language updated.	No
	Section 5 thru 11 pertain to the fifty states and the District of Columbia process of exchanging data with CMS. Section 12 provides information specific to the process for Puerto Rico to exchange data with CMS	Rev	Add section description	No
Current DET records	Current DET records Retro DET Records Future DET Records LIS Records PRO Records	Rev	Additional types of records states should include in this file.	No
state file	MMA request	Rev	clarification	No
Enrollment File and Record Specification	MMA Request File	Rev	revision for new information	No
Primary Matching Criteria & Secondary Matching Criteria	Primary Match Routine & Secondary Match Routine	Rev	update algorithm for matching	No
All data records: MMA Request Fie Header , Request File Detail, Request File Trailer MMA Response File Header, Detail, and Trailer	All data records: MMA Request Fie Header , Request File Detail, Request File Trailer MMA Response File Header, Detail, and Trailer	Rev	Revision to column header names: Add' Item' Data Element changed to Field Add 'Size' Instruction changed to Valid Values	No
Record Identification Code, State Code, Create Month, Create Year, Filler	Record Identification Code, File Process Timestamp, File Accept Indicator, Filler, Total Records, duplicate records, non duplicate records, invalid, matched	Rev	Header record fields expanded to better manage transactions/errors	No
Enrollment File to CMS Detail Record	MMA Response File Detail Record	Rev	changed Enrollment to MMA. MMA covers enrollment/eligibility, phase-down state calculation, and state low income subsidy	No
Enrollment File Detail Record fields: HICN/RRB, HICN Indicator, SSN	MMA Response File Detail Record: Bene ID, Bene Id Indicator Code, Beneficiary SSN	Rev	Change based on SSNRI/MBI file update	No
Return file	Response file	Rev	update file name for clarity	No
N/A	Change Log	Add	document changes	No
N/A	List of Figures	Add	reference	No
List of Tables	List of Tables	Rev	Expaned table listing	No
N/A	Introduction	Add	describe the contents of the document	No
N/A	Section 2 Medicare Advantage Prescription Drug State User Interface (MARx UI) System	Add	instruction to use MARx UI	No
Section 1 Technical Instructions for Submitting State Data for Medicare Modernization Act (MMA) Provisions	Section 4 Submitting State Data for Medicare Modernization Act (MMA) Provisions	Rev	update information	No
Section 2 State Enrollment File(s) Timing and Content	Section 5 State MMA Request File Timing and Content	Rev	update information	No
Section 3 Special Key Fields / User Tips	Section 6 MMA Request File	Rev	update information	No
Section 4 Enrollment File to CMS	Section 7 MMA Response File	Rev	new reference change, enrollment to MMA and return file to response file moved under new section 7	No
Section 5 Enrollment Return File Specifications	Section 7 MMA Response File	Rev	new reference change, enrollment to MMA and return file to response file moved under new section 7	No
Section 6 File Summary Record	Section 7 MMA Response File	Rev	new reference change, enrollment to MMA and return file to response file moved under new section 7	No
Section 7 Month Summary Record	Section 7 MMA Response File	Rev	new reference change, enrollment to MMA and return file to response file moved under new section 7	No
Section 8 Trailer Record	Section 7 MMA Response File	Rev	new reference change, enrollment to MMA and return file to response file moved under new section 7	No
Section 9 Appendix A State Codes	Section 13 Glossary, List of Acronyms, and State Codes	Rev	moved state codes with applicable new section	No
Enrollment Return File Specification Detail Record HICN/RRD HICN/RRB INDICATOR SSN FIRST NAME LAST NAME MIDDLE INITIAL SUFFIX GENDER DATE OF BIRTH	MMA Response File Detail Record	Rev	HICN/RRD = Beneficiary Identifier HICN/RRB INDICATOR= Beneficiary Identifier Code SSN=Beneficiary social security number FIRST NAME= Beneficiary first name LAST NAME=Beneficiary last name MIDDLE INITIAL=Beneficiary middle initial SUFFIX= Beneficiary suffix GENDER=Beneficiary gender DATE OF BIRTH=Beneficiary date of birth	No
Error Codes	Error Return codes (ERC)	Rev	specify type of error	No
Effective date	Start date	Rev	update language to clarify field definition - effective date is the date upon which something is considered to take effect, which may be a past, present or future date. The start date is when the event occurs.	No
MCO Enrollment Start Date	Group Health Plan Enrollment Start Date	Rev	update language to clarify field definition. effective date is the date upon which something is considered to take effect, which may be a past, present or future date. The start date is when the event occurs.	No
Incarceration Start and End Date	Medicare Plan Ineligibility Due to Incarceration Start Date	Rev	update language to clarify field definition. effective date is the date upon which something is considered to take effect, which may be a past, present or future date. The start date is when the event occurs.	No
N/A	Medicare Plan Inelgibility to Incarceration Start/End Date (10 occurrences)	Add	new fields	No
N/A	Medicare Plan Inelgibility due to not lawful presences Start/End Date (10 occurrences)	Add	new fields	No
N/A	Medicare Beneficiary Identifier fields	Add	add values to the Beneficiary's MBI fields	No
File Summary Record	MMA Response File Summary Record	Rev	Add "Total" to field name	No