ICR Documents

Supporting Statement A Document Date Uploaded CMS-10718_Supporting Statement_A - CY 2025 - 30 day final.docx 06/26/2024 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Crosswalk CMS 10718- CY 2025 Enrollment Form Crosswalk.docx Supplementary Document 06/26/2024 60-day Response to Comments Document CMS Response to Public Comments - CMS-10718, OMB 0938-1378.docx Supplementary Document 01/11/2024 30-day Response to Comments Document CMS Response to Public Comments - CMS-10718, OMB 0938-1378 (30 day).docx Supplementary Document 04/01/2024 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received Anonymous Blue Cross and Blue Shield of Minnesota.docx Blue Cross and Blue Shield of Minnesota Email Multiple 01/11/2024 01/11/2024 Ethan, Anderson BlueCross BlueShield of Tennessee.pdf BlueCross BlueShield of Tennessee Email Simple 11/24/2023 11/24/2023 Conner, Katherine Connerka@aetna2.pdf Aetna Email Multiple 11/24/2023 11/24/2023 Conner, Katherine Connerka@aetna1.pdf Aetna Email Multiple 11/24/2023 11/24/2023 Hang, G PC_202401-0938-002_020924_123251_1.pdf Other -- Reginfo.gov Simple 02/09/2024 02/09/2024 Mark , Hamelburg AHIP.pdf Senior Vice President, Federal Programs AHIP Email Multiple 11/29/2023 11/29/2023 Charly , Gilfoil 29 undersigned organizations.pdf Staff Attorney National Health Law Program, Email Multiple 11/28/2023 11/28/2023 Anonymous PC_202401-0938-002_020724_121716_1.pdf SLS Comments to CMS enrollment form.pdf Other -- Reginfo.gov Simple 02/07/2024 02/07/2024 Anderson, James PC_202401-0938-002_013124_031434_1.pdf Other -- Reginfo.gov Simple 01/31/2024 01/31/2024 Hoak, Michael Humana.pdf Vice President, Public Policy Humana Email Multiple 11/28/2023 11/28/2023 X. Hang, Ger Healthpartners.pdf HealthPartners Email Multiple 11/24/2023 11/24/2023