ICR Documents

Supporting Statement A Document Date Uploaded Supporting Statement 10146 Denial Notice - Part A 02_19_2010.508.doc 07/30/2010 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Coverage Denial Notice Instructions TRACKED 5_27_2010 Coverage Denial Notice Instructions TRACKED 5_27_2010.docx Supplementary Document 07/30/2010 Coverage Denial Notice TRACKED_06 2010 Coverage Denial Notice TRACKED_06 2010.doc Supplementary Document 07/30/2010 Comment Responses BCBS of MN Comment 05_2010.doc Supplementary Document 07/30/2010 Crosswalk Coverage Denial Notice 5_27_2010 Crosswalk Coverage Denial Notice 5_27_2010.doc Supplementary Document 07/30/2010 Justification Spanish Version CMS-10146 Justification Spanish Version CMS_10146(2).docx Supplementary Document 10/27/2010 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received Luhmann, Amy #1 BCBS of MN CMS-2010-0174-DRAFT-0001.1.doc Blue Cross and Blue Shield of Minnesots Other -- web Simple 05/10/2010 05/10/2010