ICR Documents

Supporting Statement A Document Date Uploaded CMS-10905_Supporting Statement A_.docx 09/09/2025 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Crosswalk (60day-30day) Crosswalk -CMS-10905.xlsx Supplementary Document 05/29/2025 Response to comment document (60day) CMS Response to Public Comments.docx Supplementary Document 05/29/2025 Crosswalk (30day) Crosswalk -CMS-10905- 30-day.xlsx Supplementary Document 09/09/2025 Response to comment document (30day) CMS Response to 30-day Public Comments - CMS-10905.docx Supplementary Document 09/09/2025 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received Davenport, Barbara PC_202505-0938-016_062725_124915_1.pdf Other -- Reginfo.gov Simple 06/27/2025 06/27/2025 Anderson, James PC_202505-0938-016_062325_045755_1.pdf Other -- Reginfo.gov Simple 06/23/2025 06/23/2025 Stretch, Kaitlin Comment Submission_Service Level Data Collection 6.30.2025.pdf PC_202505-0938-016_063025_095523_1.pdf Manager, Regulatory Oversight & Compliance Blue Cross Blue Shield of Michigan Other -- Reginfo.gov Simple 06/30/2025 06/30/2025 Vang, Julie Service Level Data Collection for Initial Determinations & Appeals – 30-day Comment Period.docx PC_202505-0938-016_070125_023948_1.pdf UCare Other -- Reginfo.gov Simple 07/01/2025 07/01/2025 Fairman, Brittney CNC Feedback - ICR Service Level Data Collection for Initial Determinations and Appeals (CMS-10905).pdf PC_202505-0938-016_063025_035645_1.pdf Centene Corporation Other -- Reginfo.gov Simple 06/30/2025 06/30/2025 Anonymous PC_202505-0938-016_070225_102403_1.pdf Other -- Reginfo.gov Simple 07/02/2025 07/02/2025 Anderson, James PC_202505-0938-016_062325_045153_1.pdf Other -- Reginfo.gov Simple 06/23/2025 06/23/2025 Yarbrough, Cassandra PC_202505-0938-016_063025_091435_1.pdf 6-30-25 - LETTER PRA Request for Comments MA Data Collection June 2025 Signed.pdf Other -- Reginfo.gov Simple 06/30/2025 06/30/2025 Anonymous PC_202505-0938-016_061825_034714_1.pdf Other -- Reginfo.gov Simple 06/18/2025 06/18/2025 Nguyen, Ted PC_202505-0938-016_063025_033712_1.pdf Blue Cross Blue Shield of Massachusetts Other -- Reginfo.gov Simple 06/30/2025 06/30/2025 Dobson, Kristen PC_202505-0938-016_063025_121935_1.pdf FINAL - FHA Comments - Service Level Data Collection Initial Determs and Appeals (CMS-10905).pdf Florida Hospital Association Other -- Reginfo.gov Simple 06/30/2025 06/30/2025 BYE, JESSE PC_202505-0938-016_063025_054146_1.pdf Service Level Data Collection for Initial Determinations 30 Day Comments (CMS-10905).docx HEALTHPARTNERS, INC. Other -- Reginfo.gov Simple 06/30/2025 06/30/2025 Hoak, Mike HUM Comments on Service Level Data Collection for Initial Appeals.pdf PC_202505-0938-016_063025_021450_1.pdf Other -- Reginfo.gov Simple 06/30/2025 06/30/2025 Fallon, Nicole PAC Coalition Comment Letter on CMS Data Collection Initiative FINAL.pdf Other -- Reginfo.gov Simple 06/27/2025 06/27/2025 Drevna, Darryl AMGA MA Data Collection Elements CMS 10905_6.30.25.pdf PC_202505-0938-016_063025_034616_1.pdf AMGA Other -- Reginfo.gov Simple 06/30/2025 06/30/2025 Millerick, Michelle PC_202505-0938-016_063025_095035_1.pdf CHA Comments - Medicare Advantage PRA Request 6.30.25_final.pdf California Hospital Association Other -- Reginfo.gov Simple 06/30/2025 06/30/2025 Krafthefer, Bethany Proposed Comments for Draft Technical Specifications for Service Level Data Collection for Initial Determinations and Appeals.docx PrimeWest Health Other -- Reginfo.gov Simple 07/01/2025 07/01/2025 Hunn, Adam PC_202505-0938-016_063025_105157_1.pdf Lumeris/Essence Healthcare Lumeris/Essence Healthcare Other -- Reginfo.gov Simple 06/30/2025 06/30/2025 Anonymous AHA Comments on CMS PRA Service Level Data Collection for Initial Determination and Appeals 6-30-25.pdf American Hospital Association American Hospital Association Other -- Reginfo.gov Simple 06/30/2025 06/30/2025 Anderson, James PC_202505-0938-016_062325_045417_1.pdf Other -- Reginfo.gov Simple 06/23/2025 06/23/2025 Hu, Edward PC_202505-0938-016_062925_101957_1.pdf Other -- Reginfo.gov Simple 06/29/2025 06/29/2025 Dodd, Martha PC_202505-0938-016_063025_012056_1.pdf Health Care Service Corporation Other -- Reginfo.gov Simple 06/30/2025 06/30/2025 Matarazzo, Karen Information Collection Comment Letter 6-26-25 FINAL.pdf Other -- Reginfo.gov Simple 06/27/2025 06/27/2025 Turner, Matthew CMS-10905_THA Comments_Final.pdf Texas Hospital Association Other -- Reginfo.gov Simple 06/30/2025 06/30/2025 Harrison, Tara PC_202505-0938-016_063025_033107_1.pdf Providence Health Assurance Comment on MA Draft Technical Spec for SLD Collection for Initial Determinations and Appeals.pdf Other -- Reginfo.gov Simple 06/30/2025 06/30/2025 Anonymous 60-day comments.pdf Email Multiple 05/29/2025 05/29/2025 Lafaurie, Xiomara KP Comments - Service Level Data Collection (CMS-10905)_06.30.25 FINAL.pdf Other -- Reginfo.gov Simple 06/30/2025 06/30/2025