1f – 60-Day Crosswalk for Model Sponsor Information Transfer Memo

Crosswalk for Model Sponsor Information Transfer Memo
July 2021 Version
September 2021 Version
Instructions

Added language to clarify that use of the memo is
optional

Type of
Change
Rev

Reason for change

Burden
Change
No

Revised based on
60-day comment to
minimize ambiguity
surrounding CMS
model documents
that are not
standardized but
bear an OMB
control number
Title of document
Changed “sample” to “model”
Rev
Accuracy,
No
consistency with
regulatory language
at 42 CFR §
423.2267 with
respect to model vs.
standardized
documents
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This pre-decisional,
privileged, and confidential information is for internal government use only, and must not be disseminated, distributed, or
copied to persons not authorized to receive the information. For Preliminary discussion only, pending review of all public
comments. Unauthorized disclosure may result in prosecution to the full extent of the law.