Crosswalk: Monitoring Report Template

SUD Crosswalk 2022_Monitoring Report Template.xlsx

[Medicaid] Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398)

Crosswalk: Monitoring Report Template

OMB: 0938-1148

Document [xlsx]
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2020 (old version) 2022 (new version) Type of Change Reason for Change Burden Change
N/A Included a PRA placeholder cover page Addition Included to indicate PRA compliance after approval No
N/A Added PMDA functionality to the template to automatically populate some of the header information (State name and Demonstration name) and title page rows (State, Demonstration name, Approval period for section 1115 demonstration, SUD demonstration start date, Implementation date of SUD demonstration, if different from SUD demonstration start date, and SUD [or if broader demonstration, then SUD -related] demonstration goals and objectives) Addition Changes are intended to reduce state burden and automate portions of the reporting process Yes - PMDA autopopulated fields will reduce time state spends on completing Monitoring Report Template
N/A Included additional information on the definition of a state’s SUD demonstration implementation date Addition Changes are intended to improve clarity and user experience No
N/A Included additional row (13.1.5) under “13. Other demonstration reporting” in Section 4 for the state to provide updates on beneficiary satisfaction surveys, as well as grievances and appeals Addition Changes are intended to improve clarity and user experience No
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