| # |
Form |
Change |
Current Location |
Reason |
|
|
|
|
|
| 1 |
Supporting Statement |
References to the Network Adequacy Guidance revised |
12.4 |
Changed to align with the updated guidance released June 2020 |
| 2 |
Partial County Justification Template |
Language was changed for clarity in the Partial County Justification Template |
Partial County Justification Template |
Minor changes to the document were included for clarity, and to align with the language included in the Network Adequacy Guidance updates released in 2020 |
| 3 |
Information Collection Documents |
Updated Provider and Facility HSD tables Included |
Provider HSD Facility HSD |
The most recent HSD tables for provider and facility included in the pacakge, includes a field for RPPO's who must selecy Yes/No in the field "Exceptions to the Written Agreement" |
| 4 |
Information Collection Documents |
Language included specific to RPPOs regarding the new field in the HSD table |
Supporting Statement |
Clarifies that only RPPOs will be required to insert a value for the new field included on the tables. |
| 5 |
Exception Request Template |
Additional rationale added to the "Reasons for Not Contracting" drop down list |
Exception Request PDF |
Will reduce burden for plans, instead of typing the rationale "Provider Contracts Exclusively with Another Organziation" in the "other" category it can be selected from a drop-down list |
| 6 |
Exception Request Template |
The County/SSA Code, County Name and State text entry fields have been combined into one drop down field. Specialty Code and Specialty Name text entry fields have been combined into one drop down field. |
Exception Request PDF |
Plans will no longer be required to manually enter the fields for County/SSA Code and Specialty Code. This will reduce errors in data entry |
| 7 |
Exception Request Template |
The instructions for populating the Contract, County and Specialty codes have been updated |
Exception Request PDF |
The edits reflect the changes from free text entry to selecting values from a drop down |
| 8 |
Supporting Statement |
Additional language added to the supporting statement to clarify what the consultation period entails |
Supporting Statement |
Because the collection documents are also utilized during our informal review period, we have included a short paragraph referencing "consultation", these are not included in the burden estimate because the consulation review period is voluntary |
| 9 |
Supporting Statement |
Revisions to time and distance standards referenced |
Supporting Statement |
The final rule, published 6/2/2020, changed the base time and distance standards for rual, micro and CEAC counties- the language has been revised to reflect those changes |
| 10 |
Supporting Statement |
Updates to burden estimates based on updated BLS statistics |
Supporting Statement |
The Bureau of Labor and Statistics released their updated figures for 2019 during the 60 comment period. Burden estimates have been updated to reflect the most current year's statistics |
| 11 |
Supporting Statement/Burden |
Updates to burden estimates based on the addition of telehealth selection in the 2021 Part C and D final rule |
Supporting Statement/Burden |
The final rule, published 6/2/2020 added a 10% for telehealth benefits offered by plans. This alters the submission page in the NMM to allow plans who offer telehealth benefits to select the specialty type before uploading and submitting HSD tables. |
| 12 |
Supporting Statement/Burden |
Updates to burden estimates based on the removal of 044-Outpatient Dialysis from HSD facility table upload. |
Supporting Statement/Burden |
The final rule, published 6/2/2020 removes 044- Outpatient Dialysis from HSD facilty submission and moves this specialty type to attestation only. |
| 13 |
Information Collection Guidance |
The Network Adequacy Guidance was updated in June, this document has been updated in the collection guidance |
Information Collection Guidance |
The guidance document was updated in June to streamline guidance found elsewhere. |