ICR Documents

Supporting Statement A Document Date Uploaded CMS-10636 - Supporting Statement A - Passback_TW responses to OMB_120517 - CLEAN.doc 12/08/2017 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Crosswalk: HSD Instructions CY 2018 HSD Instructions - TC version - 072417.pdf Supplementary Document 08/15/2017 Crosswalk: Justification Template CY_2018_Partial_County_Justification_Template - TC version - 072417.pdf Supplementary Document 08/15/2017 Crosswalk: Notice of Entire Network Review NoticeOfEntireNetworkReviewLetter - Crosswalk.pdf Supplementary Document 11/17/2017 Response to 60-day Public Comments Responses to 60-day comments_0938-New_CMS-10636_072417.pdf Supplementary Document 08/15/2017 Response to 30-Day Comments Responses to 30-day comments_0938-New_CMS-10636_10.24.17.docx Supplementary Document 11/17/2017 Crosswalk: Exception Request Template Exception Request Template - Crosswalk.pdf Supplementary Document 11/17/2017 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received Greiner, Keith 30 - Comments on Three-Year Network Adequacy Review for Medicare Advantage Organizations.pdf Fallon Health Email Simple 08/17/2017 08/17/2017 Mott-Bronson, Dana 30 - FinalHCSCCmnts3yrNtwkAdeq30day8_18_17.pdf Health Care Service Corporation (HCSC) Blue Cross and Blue Shield Email Simple 08/18/2017 08/18/2017 Newsom, Mark 30 - Humana comments on Three Year Network Adequacy Review.pdf Humana Inc. Email Simple 08/17/2017 08/17/2017 Burke, Georgia 30 - JIA comments MA network adequacy 8-17-2017.pdf Justice in Aging Email Simple 08/17/2017 08/17/2017 Joffe, Mark 30 - Medicare Cost Contractors Alliance - Comments on CMS-10636 (OMB Control Number 0938-New).pdf Medicare Cost Contractors Alliance Email Simple 08/18/2017 08/18/2017 Carter, Julie 30 - Medicare Rights Center comments RE CMS–10636.pdf Medicare Rights Center Email Simple 08/17/2017 08/17/2017 Parker, Pamela 30 - SNP Alliance Comments on CMS Network Review PRA Notice 8-17-2017.pdf SNP Alliance Email Simple 08/17/2017 08/17/2017 Galvin, Jane comments on network adequacy draft comments August 14th final-30-day.docx Blue Cross Blue Shield Association Email Simple 08/18/2017 08/18/2017 Vidimos, Moody, and Rogers, 30 - ACMS_ICR on NA in MAOs_DRAFT.pdf American College of Mohs Surgery (Mohs College) Email Simple 08/18/2017 08/18/2017 Hamelburg, Mark 30 - AHIPfinalComments_NetworkAdequacyReviews_8_18_17.docx America’s Health Insurance Plans (AHIP) Email Simple 08/18/2017 08/18/2017 Mui, Yee-Ling 30 - CMS comment Request_ Three-Year Network Adequacy Review for Medicare Advantage Organizations (CMS – 10636; OMB 0938-New).pdf UCare Email Simple 08/18/2017 08/18/2017 Hoisington, Tracy 1k1-8tyg-lcnh- Comments.pdf UCare Other -- Web Simple 01/03/2017 01/03/2017 Galvin, Jane 1k1-8tyj-5og6- Comments.pdf Blue Cross Blue Shield Association Other -- Web Simple 01/03/2017 01/03/2017 Schuster, Shannon 1k0-8tr9-56nj - Comments.pdf UnitedHealthcare Other -- Web Simple 12/23/2016 12/23/2016 Hamelburg, Mark 1k1-8tyj-odx6 - Comments.pdf America's Health Insurance Plans Other -- Web Simple 01/03/2017 01/03/2017 Rohan, Sue 1k1-8tyk-3hr3 - Comments.pdf Health Care Service Corporation Other -- Web Simple 01/03/2017 01/03/2017