Non-Subtantive change Crosswalk

Revisions to Form CMS-10752 Submissions of 1135 Waiver Request Webform

Issue #	Page #	Section	Changes to the Application	Reason for the Change
	2	WAIVER (ORGANIZATION WORKFLOW) - Organization Categories	Added ‘State Medicaid Agency’ in Organization Categories, under the General tab	Added missing option to Waiver Workflow
	2	WAIVER (ORGANIZATION WORKFLOW) - Organization Categories	Added ‘Qualified Health Plan’ in Organization Categories, under the General tab	Added missing option to Waiver Workflow
	2	WAIVER (ORGANIZATION WORKFLOW) - Organization Categories	Added ‘Medicare Advantage / Part Plan D’ in Organization Categories, under the General tab	Added missing option to Waiver Workflow
	2	WAIVER (ORGANIZATION WORKFLOW) - Organization Categories	Added ‘Program of All-Inclusive Care for Elderly’ PACE in Organization Categories, under the Emergency Provider/Supplier tab	Added missing option to Waiver Workflow
	2	WAIVER (ORGANIZATION WORKFLOW) - Organization Categories	Removed extra instance of ‘Community Mental Health Care’ CMHC from Organization Categories, under the Emergency Provider/Supplier tab	Removed duplicate option from Waiver Workflow
	2	WAIVER (ORGANIZATION WORKFLOW) - Header text	Changed date to: 05/31/2024	Expiration date changed
	4	INQUIRY (ORGANIZATION WORKFLOW) - Header text	Changed date to: 05/31/2024	Expiration date changed
	6	INQUIRY (BENEFICIARY WORKFLOW) - Header text	Changed date to: 05/31/2024	Expiration date changed
	4	INQUIRY (ORGANIZATION WORKFLOW) - Organization Categories	Removed extra instance of ‘Community Mental Health Care’ CMHC from Organization Categories, under the Emergency Provider/Supplier tab	Removed duplicate option from Inquiry Workflow
	6	INQUIRY (BENEFICIARY WORKFLOW) - Organization Categories	Removed extra instance of ‘Community Mental Health Care’ CMHC from Organization Categories, under the Emergency Provider/Supplier tab	Removed duplicate option from Inquiry Workflow
	2	WAIVER (ORGANIZATION WORKFLOW) -Waiver/Flexibility Request Type	Capitalized ‘related’ - Ensuring Correct Processing of Home Health Disaster Related Claims: Allow MACs to extend auto-cancellation date of Requests for Anticipated Payment (RAPs) during emergencies	Typo
	2	WAIVER (ORGANIZATION WORKFLOW) -Waiver/Flexibility Request Type	Capitalized ‘medicare’ - Extension for Medicare Geographic Classification Review Board (MGCRB) Applications: Allows an extension to the deadline of application re-classification requirements [	Typo
	2	WAIVER (ORGANIZATION WORKFLOW) -Waiver/Flexibility Request Type	Revised: ‘pre-exisiting’ - Extension of pre-existing fee-for-service prior authorizations	Typo
	2	WAIVER (ORGANIZATION WORKFLOW) -Waiver/Flexibility Request Type	Revised: ‘Teatment’ - Psychiatric Residential Treatment Facility (PRTF): Payment	Typo
	2	WAIVER (ORGANIZATION WORKFLOW) -Waiver/Flexibility Request Type	Revised: ‘Teatment’ - Psychiatric Residential Treatment Facility (PRTF): Survey, Certification, Quality and Enforcement	Typo