CMS-10882 - Crosswalk |
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Section |
New version |
Type of Change |
Reason for change |
Burden Change |
Exhibit 1 |
Shortened the standardized Likely to Benefit Notice to one page in response to stakeholder feedback. |
Revision |
Responsiveness to comments |
Yes |
Exhibit 1.2 |
Updated the Spanish translation of the Likely to Benefit Notice to reflect the new one-page format. |
Revision |
Responsiveness to comments |
Yes |
Exhibit 1.4-1.6 |
Added Chinese, Vietnamese, and Korean translations of the Likely to Benefit Notice. |
Addition |
Completeness |
No |
Exhibits 2-6 |
Updated instructions for these model notices to reference the requirements established in the Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly Final Rule (CMS-4208-F). Updated links referenced in the documents. |
Revision |
Accuracy |
No |
Exhibit 2 |
Added reference to the automatic election renewal process established in the final rule CMS-4208-F. |
Revision |
Clarity/completeness |
No |
Exhibit 3 |
Added reference to the automatic election renewal process established in the final rule CMS-4208-F and an optional space for Part D plan sponsors to include the Medicare Prescription Payment Plan BIN/PCN. |
Revision |
Clarity/completeness and responsiveness to comments |
No |
Exhibit 4 |
Added language to reflect modifications to the timing of the grace period established in the final rule CMS-4208-F. |
Revision |
Accuracy |
No |
Exhibit 7 |
Added the model Notice of Participation Renewal, which satisfies the requirement established in the final rule CMS-4208-F for Part D sponsors to alert Medicare Prescription Payment Plan participants that their participation in the program will automatically renew. |
Addition |
Completeness |
Yes |
CMS-10882 (60-Day Public Comment Period) - Crosswalk |
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Section |
New version |
Type of Change |
Reason for change |
Burden Change |
Exhibit 1, 1.2, 1.4, 1.5, 1.6 |
Revised the boxed outline at the bottom of the exhibit and instead bolded the entire statement to reinforce the prompt for beneficiary action. |
Rev |
Responsiveness to comments |
No |
Exhibits 2, 3 and 4 |
Minor edits in response to public comments to improve clarity and consistency across model materials. |
Rev |
Clarity and responsiveness to comments |
No |
Exhibit 2 |
Added a radio selection field for beneficiaries to indicate whether they are requesting to participate in the program for the current plan year or the upcoming plan year. |
Add |
Responsiveness to comments |
No |
Exhibit 3-6 |
Revised instructions to correctly reference “notice” instead of “request form.” |
Rev |
Clarity and responsiveness to comments |
Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesignation.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Crosswalk CMS-10174_11-2023 |
Author | Chad Buskirk |
File Modified | 0000-00-00 |
File Created | 2025-07-30 |