ICR Documents

Supporting Statement A Document Date Uploaded CMS10630-SupportingStatement_A.docx 07/14/2025 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Crosswalk (before 60-day) CMS10630_CrosswalkofChanges_2026_60-day.pdf Supplementary Document 07/07/2025 60 Day Public Comment Response CMS-10630_ResponseToComments_60-day.pdf Supplementary Document 07/07/2025 Crosswalk (after 60-day) CMS10630_CrosswalkofChanges_30-day.pdf Supplementary Document 07/07/2025 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received Flake, Crissy myPlace PACE.pdf National Director of Quality and Compliance Programs Email Simple 02/18/2025 02/18/2025 Gourley Mungia, Ingrid S MultiCare Health System.pdf VP, Public Policy & Advocacy MultiCare Email Simple 02/20/2025 02/20/2025 Dey, Anna Habitat Health.pdf Vice President, Compliance Habitat Health Email Simple 02/19/2025 02/19/2025 Visintainer, Brendy Aging and Long-Term Support Administration ALTSA.pdf Aging and Long-Term Support Administration Email Simple 02/18/2025 02/18/2025 Diroff, Tracey PACE Southeast Michigan.pdf Director of Compliance PACE Southeast Michigan Email Simple 02/20/2025 02/20/2025 Chau, Jonathan On Lok Senior Health Services - On Lok.pdf Director of Regulatory Affairs and Compliance On Lok Senior Health Services Email Simple 02/21/2025 02/21/2025 Bloom, Shawn National PACE Association NPA.pdf President and CEO NPA Email Simple 02/20/2025 02/20/2025