ICR Documents

Supporting Statement A Document Date Uploaded CMS-10141 - Supporting Statement A.docx 04/27/2022 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Crosswalk CY 2022 EOB 2023 EOB Crosswalk for PRA 10141 Clean.pdf Supplementary Document 04/13/2022 Response to 60-day Comments Attachment 3j - 60 Day Comments and Responses (2).docx Supplementary Document 04/13/2022 Crosswalk Part D EOB - 30day Attachment 3 - Part D EOB Crosswalk EOB 30 day version.pdf Supplementary Document 04/13/2022 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received , Eroman MCS Advantage, Inc..pdf MCS Advantage, Inc. Email Simple 02/14/2022 02/14/2022 Hubbard, Whitney CVSH 2024 Part D EOB Comment Letter FINAL 5.25.2022.pdf PC_202204-0938-002_052522_020855_1.pdf CVS Health Other -- Reginfo.gov Simple 05/25/2022 05/25/2022 Jenkins , Hanson Magellan Rx Management.pdf Magellan Rx Management Email Simple 02/17/2022 02/17/2022 Booker, Danielle PC_202204-0938-002_052522_105233_1.pdf Medicare Coordinator Healthpartners Other -- Reginfo.gov Simple 05/25/2022 05/25/2022 Dube, Tim PCMA.pdf Vice President, Regulatory Affairs Pharmaceutical Care Management Association Email Simple 02/18/2022 02/18/2022 Hubbard, Whitney CVS Health.pdf CVS Health Email Simple 02/22/2022 02/22/2022 Kennedy, R Healthfirst.pdf Healthfirst, Inc. Email Simple 02/22/2022 02/22/2022 Washington, Jennifer Magellan attachment.pdf Email Simple 02/18/2022 02/18/2022 Hulbert, Elizabeth Kaiser Foundation Health Plan.pdf Kaiser Foundation Health Plan Other -- Simple 01/28/2022 01/28/2022 Kuder, Jacqueline UnitedHealthcare.pdf Director, Medicare Regulation Affairs United Healthcare Email Simple 02/22/2022 02/22/2022 Anonymous HealthPartners.pdf HealthPartners, Inc. Email Simple 02/22/2022 02/22/2022 Anonymous Paramount Health Care.pdf Paramount Health Care Email Simple 02/22/2022 02/22/2022