Crosswalk after 60-day comment period

Proposed 2023 CMS-10630 (Prior to 60Day Comment Period)
AttachmentIPACEAuditProtocol, Initial
Documentation and Data Submissions

Summary of Changes in Proposed CMS-10630
(Following 60-Day Comment Period)

Type of
Change

Explanation of Changes

Burden
Impact

Removed requests for self-evaluations and
audits conducted as part of the compliance
program
Modified request for monitoring and
tracking reports by limiting it to 30
participants selected by CMS
Removed request for an Observation
Participant List (Audit Engagement Letter,
Attachment IV)
Made minor changes to sample case
documentation section for medical records

Modify

Modified documentation
requests to reduce burden
based on comments
received

High
(reduction)

Modify

Clarified instructions

None

Modify

Modified documentation
request to reduce burden
based on comments
received

Moderate
(reduction)

•

Removed request for self-evaluations and
audits conducted as part of the compliance
program
Clarified that documentation of
investigations into compliance issues must
include the results of those investigations
Modified 1 data field to clarify instructions

Modify

Clarified instructions based
on comments received

None

•

Modified 1 data field to clarify instructions

Modify

Clarified instructions based
on comments received

None

•
•

Added 1 new data field
Removed 2 data fields

Modify

Modified data request to
reduce burden based on
comments received

Low
(reduction)

•
•

Removed 1 data field
Modified 3 data fields to clarify instructions

Modify

Clarified instructions based
on comments, Modified
data request to reduce
burden based on
comments received

Low
(reduction)

•
•
•

AttachmentIPACEAuditProtocol, Audit
Elements, Provision of Services

•

AttachmentIPACEAuditProtocol,
Compliance and Quality Improvement

•
•

AttachmentIPACEAuditProtocol, Appendix
A, Table 1: Service Determination
Requests (SDR) Record Layout
• 23 columns in the Record Layout
AttachmentIPACEAuditProtocol, Appendix
A, Table 2: Appeal Requests (AR) Record
Layout
• 18 columns in the Record Layout
AttachmentIPACEAuditProtocol, Appendix
A, Table 4: List of Personnel (LOP) Record
Layout
• 11 columns in the Record Layout
AttachmentIPACEAuditProtocol, Appendix
A, Table 5: List of Participant Medical
Records (LOPMR) Record Layout
• 42 columns in the Record Layout

Proposed 2023 CMS-10630 (Prior to 60Day Comment Period)

Summary of Changes in Proposed CMS-10630
(Following 60-Day Comment Period)

Type of
Change

Explanation of Changes

Burden
Impact

Modified data request to
reduce burden based on
comments received
Modified data request to
reduce burden based on
comments received

Low
(reduction)

High
(reduction)

AttachmentIPACEAuditProtocol, Appendix
A, Table 6: On-Call (OC) Record Layout
• 10 columns in the Record Layout
AttachmentIPACEAuditProtocol, Appendix
A, Table 7: Contracted Entities and
Providers (CEP) Record Layout.
• 7 columns in the Record Layout
Attachment_IV_Obs_ParticipantList

•

Removed 1 data field

Modify

•
•

Removed 1 data field
Modified 3 data fields to clarify instructions
and rename 1 data field.

Modify

•

Removed
Attachment_IV_Obs_ParticipantList

Modify

AttachmentVAuditSurvey

•

Renamed attachment to
“AttachmentIVAuditSurvey”

Modify

Modified data request to
reduce burden based on
comments received
Technical Change

AttachmentVICorrectiveActionPlanProcess

•

Renamed attachment to
“AttachmentVCorrectiveActionPlanProcess”

Modify

Technical Change

None

AlertIDT1P14 Impact Analysis:
• Modified 2 columns on the participant
impact tab
Appeals1P651P661P681P73 Impact Analysis:
• Modified 6 columns on the participant
impact tab

Modify

Minor wording changes for
clarity

None

Modify

Minor wording changes for
clarity

None

Assessments1P491P50 Impact Analysis:
• Modified 4 columns on the participant
impact tab
CoordinationofCare1P95:
• Modified the instructions tab
• Modified 5 columns on the participant
impact tab
Effectuation1P021P111P30 Impact Analysis:
• Modified the instructions tab
• Modified 8 columns on the participant
impact tab

Modify

Minor wording changes for
clarity

None

Modify

Modified data request to
reduce burden based on
comments received,
Wording changes for clarity
Minor wording changes for
clarity

Low
(reduction)

AlertIDT1P14 Impact Analysis
• 22 columns on participant impact
tab
Appeals1P651P661P681P73 Impact
Analysis
• 42 columns on the participant
impact tab
Assessments1P491P50 Impact Analysis
• 31 columns on the participant
impact tab
CoordinationofCare1P95
• 25 columns on the participant
impact tab
Effectuation1P021P111P30 Impact
Analysis
• 36 columns on the participant
impact tab

Modify

Low
(reduction)

None

None

Proposed 2023 CMS-10630 (Prior to 60Day Comment Period)

Summary of Changes in Proposed CMS-10630
(Following 60-Day Comment Period)

Type of
Change

Explanation of Changes

Burden
Impact

EmergencyCare1P07 Impact Analysis:
• 27 columns on the participant
impact tab
Grievances1P311P751P77 Impact Analysis
• 29 columns on the participant
impact tab
HomeCare1P02 Impact Analysis
• 16 columns on participant impact
tab
MedErrors1P02 Impact Analysis
• 22 columns on participant impact
tab
Personnel Impact Analysis
• 25 columns on the participant
impact tab
ProvisionofServices1P02 Impact Analysis
• 19 columns on the participant
impact tab

EmergencyCare1P07 Impact Analysis:
• Modified 1 column on the participant impact
tab
Grievances1P311P751P77 Impact Analysis:
• Modified 6 columns on the participant
impact tab
HomeCare1P02 Impact Analysis:
• Modified 2 columns on the participant
impact tab
MedErrors1P02 Impact Analysis:
• Modified 2 columns on the participant
impact tab
Personnel Impact Analysis:
• Modified 6 columns on the participant
impact tab
ProvisionofServices1P02 Impact Analysis:
• Modified the instructions tab
• Modified 1 column on the participant impact
tab
RequiredServices1P93
• Modified 14 columns on the participant
impact tab
Restraints1P09 Impact Analysis:
• Modified 3 columns on the participant
impact tab
SDRIdentification1P76 Impact Analysis:
• Modified 2 columns on the participant
impact tab
SDRs1P601P611P85 Impact Analysis:
• Modified 5 columns on the participant
impact tab
SpecialistRecommendations1P94
• Renamed to “SpecialistRecommendations
1P94”
• Modified 12 columns on the participant
impact tab

Modify

Minor wording changes for
clarity

None

Modify

Minor wording changes for
clarity

None

Modify

Minor wording changes for
clarity

None

Modify

Minor wording changes for
clarity

None

Modify

Minor wording changes for
clarity

None

Modify

Minor wording changes for
clarity

None

Modify

Minor wording changes for
clarity

None

Modify

Minor wording changes for
clarity

None

Modify

Minor wording changes for
clarity

None

Modify

Minor wording changes for
clarity

None

Modify

Renamed document, Minor
wording changes for clarity

None

RequiredServices1P93
• 29 columns on the participant
impact tab
Restraints1P09 Impact Analysis
• 26 columns on the participant
impact tab
SDRIdentification1P76 Impact Analysis
• 21 columns on participant impact
tab
SDRs1P601P611P85 Impact Analysis
• 27 columns on participant impact
tab
SpecialistRecommendations1P14
• 24 columns on participant impact
tab

Proposed 2023 CMS-10630 (Prior to 60Day Comment Period)

Summary of Changes in Proposed CMS-10630
(Following 60-Day Comment Period)

Type of
Change

SrvcRestrict1P90 Impact Analysis
• 19 columns on the participant
impact tab
WoundCare1P02 Impact Analysis:
• 24 columns on the participant
impact tab

SrvcRestrict1P90 Impact Analysis:
Modify
• Modified 1 column on the participant impact
tab
WoundCare1P02 Impact Analysis:
Modify
• Modified 1 column on the participant impact
tab

Explanation of Changes

Burden
Impact

Minor wording changes for
clarity

None

Minor wording changes for
clarity

None