ICR Documents

Supporting Statement A Document Date Uploaded Appendix_A_CMS-R-262_CY2025_PBP_Sprtng_Stmnt_clean.docx 03/13/2024 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded 60 Day Public Comment Response CY2025 PRA 60-day comments 01082024_final.docx Supplementary Document 01/25/2024 Crosswalk Appendix_B_CY_2025 PBP List of Changes - 30 Days PRA.pdf Supplementary Document 01/25/2024 30 Day Public Comment Response CY2025 - PBP 30-day comments 03122024_final.docx Supplementary Document 03/13/2024 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received Booker, Danielle CMS PBP & Formulary CY2025.docx Medicare Coordinator Healthpartners Other -- Reginfo.gov Simple 02/23/2024 02/23/2024 Ross, Lisa CY2025 PBP and Formulary Submission for Advantage (MA) Plans and PDPs (CMS-R-262) Comments (2.23.24).xlsx Kaiser Permanente Other -- Reginfo.gov Simple 02/23/2024 02/23/2024 Anonymous UnitedHealthcare Letterhead Template - color.pdf UnitedHealthcare Email Multiple 01/25/2024 01/25/2024 Ross, Lisa Kaiser Permanente.pdf Kaiser Permanente Email Multiple 01/25/2024 01/25/2024