Non-substantive change crosswalk

Revisions to Form CMS-10752 Submissions of 1135 Waiver Request Webform
Issue #
1.

Page
#
2

2.

3

Section
Select a PHE
WAIVER
PHE Information

3.

5

Select a PHE

4.

5

INQUIRYORGANIZATION
PHE Information

Action to be
performed
Updated
Content (9-72021)
Updated
Content (9-72021)
Updated
Content (9-72021)
Updated
Content (9-72021)

Changes to the Application
Revised value in PHE dropdown:
Hurricane Ida 2021 08/26/2021 – 11/24/2021

Adjusted ‘2021 Hurricane Ida’ value in PHE drop down
information
Revised value in PHE dropdown:
Hurricane Ida 2021 08/26/2021 – 11/24/2021

Adjusted ‘2021 Hurricane Ida’ value in PHE drop down
information

Reason for the Change
Revised value for ‘Hurricane Ida’ PHE to
allow waiver requests from multiple
States
Adjusted ‘Hurricane Ida’ value in PHE
dropdown to allow waiver requests from
multiple States
Revised value for ‘Hurricane Ida’ PHE to
allow waiver requests from multiple
States
Adjusted ‘Hurricane Ida’ value in PHE
dropdown to allow waiver requests from
multiple States