Crosswalk - Waiver Flexibility Request

CMS 10752 1135 Waiver_Flexibility Request and 1135 Inquiry Form Revision Table - End of COVID-19 PHE.docx

Submissions of 1135 Waiver Request Automated Process (CMS-10752)

Crosswalk - Waiver Flexibility Request

OMB: 0938-1384

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Revisions to 1135 Waiver Request Webform


Issue #

Page #

Section

Action to be performed

Changes to the Application

Reason for the Change

1

PHE dropdown

Update Content (02-10-2023)

Added option: 1135 Waiver Request when No PHE declared

Option available just in case CMS has to activate due to COVID-19 Surges again in pockets of US

1

Describe your 1135 Waiver/Flexibility Request section

Update Content (02-10-2023)

Removed ‘Other’ option checkbox for waiver


Limits the 1135 Waiver Options that can be Requested if COVID-19 Surges again in pockets of US (This allows CMS to review the waiver requests on a case-by-case basis to determine if a ‘Blanket” waiver is required [Similar to what was done at the beginning of the COVID-19 PHE in 2020])

2

Drop down option – PHE

Update Content (02-10-2023)

Added PHE option: 1135 Waiver Request when No PHE declared

Option available just in case CMS has to activate due to COVID-19 Surges again in pockets of US

2

Waiver/Flexibility Types

Update Content (02-10-2023)

Added waiver option: Conditions of Participation (COP)

Limits the 1135 Waiver Options that can be Requested if COVID-19 Surges again in pockets of US (This allows CMS to review the waiver requests on a case-by-case basis to determine if a ‘Blanket” waiver is required [Similar to what was done at the beginning of the COVID-19 PHE in 2020])

2

Waiver/Flexibility Types

Update Content (02-10-2023)

Added waiver option: Payment

Limits the 1135 Waiver Options that can be Requested if COVID-19 Surges again in pockets of US (This allows CMS to review the waiver requests on a case-by-case basis to determine if a ‘Blanket” waiver is required [Similar to what was done with the COVID-19 PHE in 2020])

4

Type options

Update Content (02-10-2023)

Added Type option: End of COVID-19 PHE: 1135 Waiver Question

CMS Administration requested that we allow inquiries (especially about 1135 Waivers) to come into the web portal for 60 days after the end of the COVID-19 PHE to allow us to track and trend this data.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorAlexander Rooke
File Modified0000-00-00
File Created2023-08-27

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