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Reason for Change
Type of Change
2023 (new version)
2020 (old version)
Page 1 - Effective for the reporting
period federal fiscal year 2020 (October
1, 2019 through September 30, 2020),
with submission of Form CMS-416 by
April 1, 2021.
Page 1 - Effective for the reporting
period federal fiscal year 2023 (October
1, 2022 through September 30, 2023),
with submission of Form CMS-416 by
April 1, 2024.
Rev
Updated to reflect new reporting period
No
Page 1 - These associated revised
instructions must be used starting with
the reporting period federal fiscal year
2020, beginning October 1, 2019
through September 30, 2020, for data
due to CMS on the Form CMS-416 on
or before April 1, 2021.
Page 1 - These associated revised
instructions must be used starting with
the reporting period federal fiscal year
2023, beginning October 1, 2022
through September 30, 2023, for data
due to CMS on the Form CMS-416 on
or before April 1, 2024.
Rev
Updated to reflect new reporting period
No
Page 2 - The federal fiscal year is from
October 1 through September 30. For
example, FFY 2023 is October 1, 2022
through September 30, 2023.
Page 2 - The federal fiscal year is from
October 1 through September 30. For
example, FFY 2023 is October 1, 2022
through September 30, 2023.
Rev
Updated to reflect new reporting period
Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.
| File Type | application/pdf |
| File Title | 416 Instructions Crosswalk |
| Author | Mitch Bryman |
| File Modified | 2023-03-01 |
| File Created | 2023-03-01 |