CROSSWALK: Attachment C (MLR Data Submission Instructions)

508_CMS-10476_Attachment_C_Instructions Crosswalk.pdf.pdf

Medical Loss Ratio (MLR) Data Form for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) (CMS-10476)

CROSSWALK: Attachment C (MLR Data Submission Instructions)

OMB: 0938-1232

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Title: MLR Data Form Filing Instructions Rev

Title changed to reflect change in the name of
the data collection instrument.

Burden Change

Reason for Change

Type of Change

2018 (new version)

2016 (old version)
Title: MLR Report Filing Instructions

No

Technical instructions regarding MLR
Removed
Add-in File, Validation Report,
Hide/Unhide Validation Cell Labels,
Hide/Unhide Non-Validation Cell Labels,
Hide/Unhide Formula Worksheet
Screenshots displaying location of
Removed
finalization macro in MLR Workbook

Del

Instructions for Worksheet 3 Description of Expense Allocation
Methods

Removed

Del

The MLR Data Form does not include former
Worksheet 3.

Line-by-line instructions for completing
MLR Report Workbook

Line-by-line instructions for completing
MLR Data Form

Rev

N/A

New section detailing "Changes to CY
2018 MLR Reporting"

Rev

The instructions have been amended to reflect Yes
changes to the layout of the data collection
instrument and the deletion of many of the data
fields that were previously in the MLR Report
Workbook.
This is a new section that describes changes in No
how the MLR is reported as a result of policies
finalized in the April 2, 2018 final rule (CMS4182-F), including the reduction in the amount
of MLR Data CMS colllects. This section also
describes technical changes in MLR reporting
related to the replacement of the MLR Report
Workbook with the MLR Data Form.

Del

These instructions are not relevant because the No
MLR Data Form does not require the use of the
Add-in File, and the Validation Report and
hide/unhide functions are no longer available to
users.
These instructions are not relevant because the No
process for finalizing the MLR Data Form is
more straightforward.

No

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


File Typeapplication/pdf
File TitleAttachment D - Crosswalk
AuthorCM/MPPG
File Modified2020-01-31
File Created2020-01-31

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