ICR Documents

Supporting Statement A Document Date Uploaded 10340 - Supporting Statement A_Encounter Data.docx 03/28/2024 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Justification for Using SSNs SSN Justification.pdf Supplementary Document 08/29/2017 Crosswalk CMS-10340 Dental PRA Crosswalk.pdf Supplementary Document 03/28/2024 Response to Comment Document (60-day) DENTAL PRA RESPONSE Final.docx Supplementary Document 03/14/2024 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received Ray, Hope Shared Health.pdf Shared Health Email Simple 01/05/2024 01/05/2024 Hall, Elizabeth Elevance.pdf Vice President Elevance Health Email Simple 01/30/2023 01/30/2023