ICR Documents

Supporting Statement A Document Date Uploaded CMS-10501 - HFFP Supporting Statement - Final 2018.docx 12/07/2018 Supporting Statement B Document Date Uploaded CMS-10501 - SS-B 417.docx 08/24/2017 Supplementary Documents Title Document Document Type Date Uploaded Response to 60-day comment CMS-10501 - Appendix A - Public Comment Tracking Tool.doc Supplementary Document 08/24/2017 Appendix B: Sample Data Elements (Pharmaceutical and Institutional) CMS-10501 - Appendix B Data Elements (NEW).docx Supplementary Document 12/07/2018 DATA SUBMISSION TEMPLATE CMS-10501 - Data Submission Template PRA (Professional Claims).docx Supplementary Document 12/07/2018 Change justification CMS-10501 - Change Justification.docx Justification for No Material/Nonsubstantive Change 12/07/2018 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received