ICR Documents

Supporting Statement A Document Date Uploaded CMS-10396 - Supporting Statement A (CMS-4190-F version 8).docx 07/16/2021 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Crosswalk 30-day crosswalk_508.pdf Supplementary Document 05/14/2021 Response to Comments 60-day comment responses.pdf Supplementary Document 05/14/2021 Response to Comments (30-day Comment Period) 30 day comment responses.pdf Supplementary Document 07/16/2021 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received Chavez, Nellie PC_202104-0938-012_052521_022025_1.pdf KS Plan Administrators, LLC Other -- Reginfo.gov Simple 05/25/2021 05/25/2021 Hulbert, Elizabeth PC_202104-0938-012_061121_115343_1.pdf Other -- Reginfo.gov Simple 06/11/2021 06/11/2021 Anonymous AHIP_MTMcomments_61421.pdf PC_202104-0938-012_061421_021628_1.pdf AHIP Other -- Reginfo.gov Simple 06/14/2021 06/14/2021 Hunt Tjornhom, Amy PC_202104-0938-012_061021_020602_1.pdf UnitedHealthcare MTM Comment Letter 6.10.2021.pdf Other -- Reginfo.gov Simple 06/10/2021 06/10/2021 Rayel, Sarah PC_202104-0938-012_061421_125236_1.pdf BCBSA Comment Letter_ Part D MTM (CMS-10396) final.pdf Blue Cross Blue Shield Association Blue Cross Blue Shield Association Other -- Reginfo.gov Simple 06/14/2021 06/14/2021 Therapeutics, Prime PC_202104-0938-012_060721_042851_1.pdf Other -- Reginfo.gov Simple 06/07/2021 06/07/2021 Monks, Carrie PC_202104-0938-012_061421_094008_1.pdf AMCP Comments MTM Standardized Format 2021 Final Draft.pdf Other -- Reginfo.gov Simple 06/14/2021 06/14/2021 Booker, Danielle PC_202104-0938-012_060721_012734_1.pdf Medicare Coordinator Healthpartners Other -- Reginfo.gov Simple 06/07/2021 06/07/2021 Anonymous PC_202104-0938-012_060821_041839_1.pdf Comments to proposed MTM SF 6.8.21.pdf Other -- Reginfo.gov Simple 06/08/2021 06/08/2021 Stretch, Kaitlin CMS Feedback - MTM Program Improvements.pdf PC_202104-0938-012_061421_032626_1.pdf Health Plan Blue Cross Blue Shield of Michigan Other -- Reginfo.gov Simple 06/14/2021 06/14/2021 Markus, Dani PC_202104-0938-012_061221_032722_1.pdf Comments-to-CMS-Standardized-Format_Final.pdf OutcomesMTM Other -- Reginfo.gov Simple 06/12/2021 06/12/2021 Cardona, Melani PC_202104-0938-012_061421_015230_1.pdf MCS Other -- Reginfo.gov Simple 06/14/2021 06/14/2021 Greene, Mitchel PC_202104-0938-012_061121_012557_1.pdf PBM PerformRx Other -- Reginfo.gov Simple 06/11/2021 06/11/2021 Greiner , Keith PC_202104-0938-012_060321_120415_1.pdf MTMP - Standardized Format (CMS-10396) – Comments from Fallon Health (H9001).docx Fallon Health Other -- Reginfo.gov Simple 06/03/2021 06/03/2021 Ahmed, Moureen PC_202104-0938-012_061021_064254_1.pdf 2021.6.10_CalOptima Comment Part D MTMP Improv Form.pdf Other -- Reginfo.gov Simple 06/10/2021 06/10/2021 Spiro, Shelly PHIT CMS-OMB Comment Request for CMS-10396 6-13-21.pdf PC_202104-0938-012_061321_092701_1.pdf Executive Director Pharmacy Health Information Technology Collaborative Other -- Reginfo.gov Simple 06/13/2021 06/13/2021 Brandt, Nicole PC_202104-0938-012_060721_040401_1.pdf UMB Letter_CMS_MTM FINAL_060721.pdf Lamy Center on Drug Therapy and Aging University of Maryland School of Pharmacy Other -- Reginfo.gov Simple 06/07/2021 06/07/2021 wilson, ashley Comment Form - Part D Medication Therapy Management Program Improvements - Standardized Format.xlsx Other -- Reginfo.gov Simple 06/08/2021 06/08/2021 Anonymous PC_202104-0938-012_061421_083055_1.pdf Central Health Plan of California Other -- Reginfo.gov Simple 06/14/2021 06/14/2021