ICR Documents

Supporting Statement A Document Date Uploaded Supporting statement A_CMS-10316_Disenrollment Reasons Survey_CLEAN V2.docx 12/09/2020 Supporting Statement B Document Date Uploaded supporting statement B_disenrollment reasons survey_clean_lp_02.11.2020.docx 03/23/2020 Supplementary Documents Title Document Document Type Date Uploaded MA PDP- Crosswalk MA_PD Disenrollment Survey crosswalk_OMB_508FINAL.pdf Supplementary Document 03/23/2020 MA Only - Crosswalk MA-ONLY Disenrollment Survey crosswalk_OMB__508FINAL.pdf Supplementary Document 03/23/2020 PDP Only - Crosswalk PDP Disenrollment Survey crosswalk_OMB__508FINAL.pdf Supplementary Document 03/23/2020 60 Day Public Comment Response CMS Response to Public Comments_02_04_2020_CLEAN.docx Supplementary Document 03/23/2020 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received Fuller, Rebecca CMS-2019-0148-DRAFT-0005 10316.pdf primewest Email Simple 12/11/2019 12/11/2019 Mott-Bronson, Dana 2019_17_12 HCSC Comments Draft Disenrollment Reasons Survey.pdf Vice President, Health Policy – Government Programs Blue Cross and Blue Shield Email Simple 12/17/2019 12/17/2019 Lin, Kevin Comment Form - Proposed Revisions to the PDP and MA Plan Disenrollment Reasons Surveys.xlsx Health Policy Email Simple 12/17/2019 12/17/2019 Schuster, Shannon UHC Comments - Implementation of the Medicare PDP and MA Plan Disenrollment.pdf Director, Regulatory Affairs Government Programs UnitedHealthcare Email Simple 12/17/2019 03/17/2020