Summary of Change (Crosswalk)

CY 2024 High Level Summary of Change or Crosswalk of Changes for
PRA Package CMS 10237: Part C - MA and 1876 Cost Plan Expansion Application

CY 2024
Application
Section
Entire
Application
1.3
3.6

4.8
5.4

Summary of Change

Updated Dates for the
CY2024 application cycle
Updated website addresses
under the Important
Resources section.
Added an Upload for
MAO’s to submit their
networks within the
application.
Updated the Partial County
upload form.
Removed SMAC from the
SNP application

Current application reflected the dates for
CY2023
Current application included website
addresses that are expired.

N/A

Level of Applicant Burden
I = Increases burden
D – Decreases burden
N – No Change
N

N/A

N

Beginning with the CY2024 application
CMS will begin to review networks within
the application as it did prior to the
creation of the Triennial Network Reviews.
Updated to align with the Partial county
upload that is a part of the Network
Adequacy PRA.
State Medicaid Agency Contract
submissions PRA is approved by OMB
under control number 0938-1410 (CMS10796, new expiration date pending). The
submission of the State Medicaid Agency
Contracts is outside the scope of the D-SNP
application contained in Section 5 of this
Application.

N/A

I

N/A

N

N/A

D

Justification for Change

Category of
Comment