ICR Documents

Document Date Uploaded
CMS-1696 - Supporting Statement A_.docx 05/24/2021

Document Date Uploaded

Title Document Document Type Date Uploaded
Crosswalk CMS 1696 Form Changes Crosswalk2020v508.pdf Supplementary Document 05/24/2021
60-Day Response to Comment Response to Public Comments CMS-1696_Final.docx Supplementary Document 05/24/2021

Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received
McKenna, Jennifer
UHC Appointment of Representatives Form Comments 4_6_21.pdf
Director, Regulatory Affairs UnitedHealthcare (UHC) Email Simple 04/06/2021 04/06/2021
Benseler, Stacey
CVSH Comments for AOR_Requests_for_Comments 04062021.pdf
CVS Health Email Simple 04/06/2021 04/06/2021