ICR Documents

Supporting Statement A Document Date Uploaded CMS-1696 - Supporting Statement A_.docx 05/24/2021 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Crosswalk CMS 1696 Form Changes Crosswalk2020v508.pdf Supplementary Document 05/24/2021 60-Day Response to Comment Response to Public Comments CMS-1696_Final.docx Supplementary Document 05/24/2021 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received McKenna, Jennifer UHC Appointment of Representatives Form Comments 4_6_21.pdf Director, Regulatory Affairs UnitedHealthcare (UHC) Email Simple 04/06/2021 04/06/2021 Benseler, Stacey CVSH Comments for AOR_Requests_for_Comments 04062021.pdf CVS Health Email Simple 04/06/2021 04/06/2021