Crosswalk (Supporting Statement)

2025 Full Clearance 30-Day Crosswalk of Statements.docx

Medicare Current Beneficiary Survey (MCBS) (CMS-P-0015A)

Crosswalk (Supporting Statement)

OMB: 0938-0568

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2025 Full Clearance 60-Day to 30-Day Package Crosswalk

The crosswalk below details changes made to the 2025 Full Clearance package between the 60-day and 30-day comment periods.

Section of Full Clearance Package

Page Number/Quex Section

Revision in 30-day Full Clearance Package

Supporting Statement A

Cover page

Updated date.

Supporting Statement A

List of Attachments

Removed Attachment 0: 60-Day Federal Register Notice.

Supporting Statement A

Background, page 3

Section A2, pages 11-12

Updated the description and count of items deleted and added to the redesigned Income and Assets Questionnaire (IAQ), including description of expanded medical debt series.

Supporting Statement A

Background, page 3

Section A2, pages 14-15

Added text and justification for new charity care coverage item. Added text for the deletion of one item related to outstanding medical bills.

Supporting Statement A

Background, page 3

Section A2, page 7

Section A2, Tables A-2 & A-3

Section A12, Table B-12

Section A12, pages 23-25

Changes to respondent burden due to expansion of medical debt items in IAQ.

Supporting Statement A

Section A2, Table A-1

Updated the summary of new items with additional items on medical debt and new item on charity care.

Supporting Statement A

Section A2, page 16

Added information on CMS’ continuous review of survey content quality.

Supporting Statement A

Section A8, pages 19-20

Added information about the 30-day comment period and summarized CMS’ response to the two comments received during the 60-day public comment period.

Supporting Statement A

Section A14, page 24

Updated contract information for Option Year 3.

Supporting Statement B

Cover page

Updated date.

Supporting Statement B

List of Attachments

Removed Attachment 0: 60-Day Federal Register Notice.

Supporting Statement B

Section B, page 1

Section B2, page 10

Section B2, pages 13-14

Section B2, page 16-17


Added text and justification for new charity care coverage item. Added text for the deletion of one item related to outstanding medical bills. Updated the description and count of items deleted and added to the redesigned Income and Assets Questionnaire (IAQ), including description of expanded medical debt series.

Supporting Statement B

Section B, Table B.4

Updated to denote Health Status and Functioning (HFQ) as having a requested revision in the clearance.



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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title2023 Full Clearance 30-day Crosswalk
Subject30-day Crosswalk
AuthorCMS
File Modified0000-00-00
File Created2024-07-25

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