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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
CMS-10440.Supporting Statement Part A.docx
04/25/2013
Supporting Statement B
Document
Date Uploaded
Supplementary Documents
Title
Document
Document Type
Date Uploaded
CMS-10440
CMS-10440_Appendix_B_Video_Description_and_URL.pdf
Supplementary Document
02/04/2013
PRA Comments Table for OMB
PRA Comments Table for OMB.docx
Supplementary Document
02/04/2013
Public Comments
Author Name
Comment Document
Author Affiliation
Sponsoring Org.
Type
Category
Date of Comment
Date Comment Received
Villanueva, Elizabeth
Comments (CMS-10440) - YouTub Video Demonstration (Individual and Family Application process).txt
AltaMed
Email
Simple
02/07/2013
02/07/2013
Wagnerman, Karina
immigrant-addendeum-comments-model-app-2-28-13.docx
Georgetown Center for Children and Families
Letter
Simple
02/28/2013
02/28/2013
Anonymous
NHeLP comments on Single Streamlined Application 2 28 13 final.pdf
NHeLP
Letter
Simple
02/28/2013
02/28/2013
Bachrach, Ann
Comments on the Single Streamlined Application.docx
Pennsylvania Health Law Project
Letter
Simple
02/28/2013
02/28/2013
Anonymous
Comments on CMS streamlined application 2 26 13.doc
Solutions for Progress
Letter
Simple
02/26/2013
02/26/2013
Jewett, Matt
FW Stakeholder Mailing.txt
Children's Action Alliance
Email
Simple
02/06/2013
02/06/2013
Anonymous
2-28-13 TN Justice Ctr Comments re. CMS 10440.pdf
Tennessee Justice Center
Letter
Simple
02/28/2013
02/28/2013
Benjamin, Elisabeth
HCFANY comments on streamlined apps-2.28.13-FINAL.pdf
Community Service Society of New York
Letter
Simple
02/28/2013
02/28/2013
Anonymous
Single Streamlined Application Comments (00016453).PDF
Medicare Advocacy
Letter
Simple
02/28/2013
02/28/2013
Davenport-Ennis, Nancy
NPAF Individual Application Comment Letter.pdf
National Patient Advocate Foundation
Letter
Simple
02/28/2013
02/28/2013
Anonymous
20130227HHSCCommentsSingleApplicationAttachment1.pdf
Texas Health and Human Services Commission
Letter
Simple
02/28/2013
02/28/2013
Brakke, Jolene
CMS-10440 Comments.doc
South Dakota
Letter
Simple
02/28/2013
02/28/2013
Anonymous
1296 Stakeholder Mtg - Combined Recommendations - 05-03-12.pdf
California Pan-Ethnic Health Network
Letter
Simple
02/28/2013
02/28/2013
Anonymous
FJ Comments on CMS 10440.pdf
Farmworker Justice
Letter
Simple
02/28/2013
02/28/2013
Keeton, Bill
Comments on Streamlined Application.docx
AIDS Resource Center of Wisconsin
Letter
Simple
02/28/2013
02/28/2013
Anonymous
TCP Comments on Model Streamlined Application[final].pdf
The Children's Partnership
Letter
Simple
02/28/2013
02/28/2013
Fountain, Kim
State Exchanges Project streamlined application comments Feb 28 2013.docx
RU12? Community Center
Letter
Simple
02/28/2013
02/28/2013
West, Fredette
Re HHS seeks public comment.txt
Racial and Ethnic Disparities Coalition
Email
Simple
03/01/2013
03/01/2013
Anonymous
2013 02 28 CLASP Streamlined App Comments Final.pdf
CLASP
Letter
Simple
02/28/2013
02/28/2013
West, FD
10440 Application comments.txt
Unknown
Email
Simple
03/01/2013
03/01/2013
Anonymous
Comments on new applications 2-19-2013.docx
Other -- Word Document
Simple
02/19/2013
02/19/2013
Sea, Douglas
model application comments 2-28.docx
Legal Services of South Piedmont
Letter
Simple
02/28/2013
02/28/2013
Anonymous
20130228Insurance Affordabilitycomments.PDF
Attorney General of Texas
Letter
Simple
02/28/2013
02/28/2013
Murray, Margaret
ACAP Response to Single Streamlined App 022813.pdf
Association for Community Affiliated Plans
Letter
Simple
02/28/2013
02/28/2013
Gallaher, Candy
AHIPs Comment Letter on ICRs on Exchange and SHOP Applications.pdf
AHIP
Letter
Simple
02/28/2013
02/28/2013
Lerdboon, Vanda
Attention CMS Desk Officer Application for Health Insurance - Public Comment Period.txt
International Rescue Committee
Email
Simple
02/04/2013
02/04/2013
Anonymous
CBPP comments on paper and online applications 02 28 13.pdf
Center on Budget and Policy Priorities
Letter
Simple
02/28/2013
02/28/2013
Diaz, Mary Esther
Comments on CMS 10440.doc
Letter
Simple
02/28/2013
02/28/2013
Tobin, Paul
Streamlined Application Comments_FINAL_United Spinal_022813.pdf
United Spinal Association
Letter
Simple
02/28/2013
02/28/2013
Anonymous
cdt-comment-cms-10440-final.pdf
Center for Democracy & Technology
Letter
Simple
02/26/2013
02/26/2013
Shah, Niyati
Comment on Health Insurance Applications.pdf
Project Vote
Letter
Simple
02/28/2013
02/28/2013
Anonymous
NCOA Single Streamlined Application Comments final.pdf
National Council on Aging
Letter
Simple
02/28/2013
02/28/2013
Anonymous
RWV Comments CMS 10440 FINAL.pdf
Raising Women's Voices
Letter
Simple
02/28/2013
02/28/2013
Anonymous
NCLR CMS-10438 2.28.13comments.pdf
National Center for Lesbian Rights
Letter
Simple
02/28/2013
02/28/2013
Anonymous
CMS-10440 CPPP TX 2 28 2013.pdf
Center for Public Policy Priorities
Letter
Simple
02/28/2013
02/28/2013
Anonymous
NMCLP Single Streamlined Application Comments 28-2-13.pdf
New Mexico Center on Law and Poverty
Letter
Simple
02/28/2013
02/28/2013
Graham, Jeff
CMS Comments Marketplace.pdf
Georgia Equality
Letter
Simple
02/28/2013
02/28/2013
Anonymous
MDCHCR FINAL comments on Single Streamlined Application 2.27.13.pdf
Maryland Women's Coalition for Health Care Reform
Letter
Simple
02/28/2013
02/28/2013
Smock, Amber
Comments, single streamlined application.doc
Access Living
Letter
Simple
02/27/2013
02/27/2013
Davenport, Karen
NWLC FINAL comments on draft application 2-28-13.pdf
National Women's Law Center
Letter
Simple
02/28/2013
02/28/2013
Anonymous
cmsapplicationcomments 2282013.pdf
Colorado Center on Law & Policy
Letter
Simple
02/28/2013
02/28/2013
Schlattman, Suzanne
Maryland comments on streamlined application.docx
Maryland Citizens' Health Initiative Education Fund, Inc.
Letter
Simple
03/04/2013
03/04/2013
Villanueva, Elizabeth
Comments (CMS-10440) - YouTub Video Demonstration (Individual and Family Application process) - 2-6-2013.txt
AltaMed
Email
Simple
02/06/2013
02/06/2013
Katz, Marsha
Single Streamlined Insurance Marketplace Application Comments.txt
ADAPT Montana
Email
Simple
02/28/2013
02/28/2013
Anonymous
Attention CMS Desk Officer Comments on CMS Form 10440.txt
Berry Dunn
Email
Simple
02/28/2013
02/28/2013
Moser, Joe
MHPA Comments on Draft Single Streamlined Application 2-28-2012.pdf
Medicaid Health Plans of America
Letter
Simple
02/28/2013
02/28/2013
Handelman, Justine
BCBSA Comment Letter on Data Collections for Exchange Applications 2 28 2013.pdf
BCBSA
Letter
Simple
02/28/2013
02/28/2013
Anonymous
Final CMS comments application 2.28.13.docx
Florida Legal Services, Miami Advocacy Office
Letter
Simple
02/28/2013
02/28/2013
Baker, Kellan
CAP streamlined application comments Feb 28 2013.docx
Center for American Progress
Letter
Simple
02/28/2013
02/28/2013
Schowalter, James
Minnesota Comments Single Streamlined Application.doc
Minnesota Department of Human Services
Letter
Simple
02/28/2013
02/28/2013
Anonymous
2-28-13 Application Comments WCCF.pdf
Wisconsin Council on Children & Families
Letter
Simple
02/28/2013
02/28/2013
Batts, Diane
Comments on Streamlined Application 2 28 2013.docx
Louisiana Department of Health and Human Services, Bureau of Health Services Financing
Letter
Simple
02/28/2013
02/28/2013
Bernstein, Robert
Medicaid Single streamlined application - BazelonCenterComments CMS-10440.docx
Judge David L. Bazelon Center for Mental Health Law
Letter
Simple
02/28/2013
02/28/2013
Anonymous
FINAL Comments to CMS 2-28-13.pdf
Illinois Maternal & Child Health Coalition
Letter
Simple
02/28/2013
02/28/2013
Anonymous
Comments CMS-10440 (OCN 0938-NEW).pdf
Minnesota Management & Budget
Letter
Simple
02/28/2013
02/28/2013
Walker, Susan
Comments Requested.txt
DC Coalition on Long Term Care
Email
Simple
03/01/2013
03/01/2013
Anonymous
Legal Aid application comments final 2-28-13.doc
Legal Aid Bureau, Inc.
Letter
Simple
02/28/2013
02/28/2013
Mitchell, Monica
Alaska Comments on Streamlined Application.txt
State of Alaska
Email
Simple
02/28/2013
02/28/2013
Anonymous
Community Catalyst Streamlined Application Comments.pdf
Community Catalyst
Letter
Simple
02/28/2013
02/28/2013
Agoratus, Lauren
comments-CMS_streamlined_application-revised.pdf
Statewide Parent Advocacy Network
Letter
Simple
02/21/2013
02/25/2013
Wagnerman, Karina
CCF-Comments-model-app-2-28-13.docx
Georgetown Center for Children and Families
Letter
Simple
02/28/2013
02/28/2013
Anonymous
Single streamlined application.txt
OutFront Minnesota
Email
Simple
02/28/2013
02/28/2013
Burch, Kate
streamlined application comments 022813.pdf
California LGBT Health & Human Sevices Network
Letter
Simple
02/28/2013
02/28/2013
Bailey, Mia
CMS-10440- Comment .txt
DHHS - ACF
Email
Simple
02/11/2013
02/11/2013
Pearce, Rebecca
Streamlined application comment letter 2-27-2013.pdf
Maryland Health Connection
Letter
Simple
02/27/2013
02/27/2013
Anonymous
CMS-10440 - Comments on Proposed Streamlined Application.txt
Virginia Poverty Law Center
Email
Simple
02/28/2013
02/28/2013
James, Liz
LHI Single Streamlined Appication Comments 2-28-13.pdf
Lesbian Health Initiative of Houston, Inc.
Letter
Simple
02/28/2013
02/28/2013
Rejeske, Jenny
NILC Comments Single Streamlined Application 02 28 13.pdf
National Immigration Law Center
Letter
Simple
02/28/2013
02/28/2013
Vargas, Hector
2-28-13 GLMA on CMS Streamlined Application.pdf
GLMA
Letter
Simple
02/28/2013
02/28/2013
Anonymous
AZ Comments re Application.pdf
Arizona Health Care Cost Containment System
Letter
Simple
02/28/2013
02/28/2013
Anonymous
comments.txt
Fair Wisconsin Education Fund
Email
Simple
02/28/2013
02/28/2013
Gross, Kris
Comments-CMS-Online Applicaton Health Insurance MarketplaceMedicaid-CHIP 2-26-13 (2).pdf
State of Iowa, Commissioner of Insurance
Letter
Simple
02/26/2013
02/26/2013
Anonymous
20130226HHSCCommentsSingleApplication.pdf
Texas Health and Human Services Commission
Letter
Simple
02/28/2013
02/28/2013
Benso, Joan
Comments to the CMS Gateway Application 2282013.pdf
Pennsylvania Patnerships for Children
Letter
Simple
02/28/2013
02/28/2013
Narasaki, Diane
ACRS Comments language access and health reform Feb 2013.pdf
Asian Counseling and Referral Service
Letter
Simple
02/28/2013
02/28/2013
Anonymous
CPEHN Streamlined Application 02-28-13.pdf
California Pan-Ethnic Health Network
Letter
Simple
02/28/2013
02/28/2013
Anonymous
Enroll America Comments CMS-10440 (Single Streamlined Application).pdf
Enroll America
Letter
Simple
02/28/2013
02/28/2013
Schwartz, Casey
Comments to Proposed Streamlined Application.docx
Medicare Rights Center
Letter
Simple
02/28/2013
02/28/2013
Anonymous
2.28.13 Application Comments WAWH.pdf
Wisconsin Alliance for Women's Health
Letter
Simple
02/28/2013
02/28/2013
Sullivan, Ryan
MCHStateExchangesProjectstreamlinedappcomments20130228.docx
Michigan Consumers for Healthcare
Letter
Simple
02/28/2013
02/28/2013
Stettner, Andrew
Single Stop Comments on CMS-10440.pdf
Single Stop USA
Letter
Simple
02/28/2013
02/28/2013
Anonymous
MLRI comments on common appl 2-28-13 final.pdf
Massachusetts Law Reform Institute
Letter
Simple
02/28/2013
02/28/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.