ICR Documents

Supporting Statement A Document Date Uploaded CMS-855A - Supporting Statement Part A rev.docx 08/29/2023 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded CMS-855A - Crosswalk Revisions Spreadsheet CMS-855A - Revisions Spreadsheetrev.xlsx Supplementary Document 08/29/2023 CMS-855A - Responses to 60-day comments Response to 60-day comments.docx Supplementary Document 08/29/2023 CMS-855A - Crosswalk Revisions Spreadsheet 30-day CMS-855A - Revisions Spreadsheetrev.xlsx Supplementary Document 08/29/2023 Response to comments (60-day) Response to 60-day comments.docx Supplementary Document 08/29/2023 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received Tenoever, Kathleen Changes to CMS-855A 6523 FINAL.pdf PC_202305-0938-003_060523_042507_1.pdf Other -- Reginfo.gov Simple 06/05/2023 06/05/2023 Wehri, Katie 60-day comments from National Association for Homecare and Hospice (855A).pdf 60-day comments from National Association for Homecare and Hospice (855A) Other -- regualtions.gov Simple 02/13/2023 02/13/2023 Anonymous 60-day comments from Federation of American Hospitals (855A).pdf Federation of American Hospitals Other -- regulations.gov Simple 05/05/2023 05/05/2023 Thompson, Ashley 60-day comments from American Hospital Assocation (855A).pdf American Hospital Association Other -- regulations.gov Simple 02/13/2023 02/13/2023