ICR Documents

Supporting Statement A Document Date Uploaded CMS-10110_Supporting_Statement_A_(2026 version_26)_Clean.docx 06/25/2026 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Response to Public Comments PRA Comment Response.pdf Supplementary Document 04/07/2026 Response to Comments (30-day notice) CMS_10110_Comment Response 30 day ICR.docx Supplementary Document 06/16/2026 Redline: Bona Fide Service Fee Certification Form CMS-10110_BFSF Certification_Nonsubstantive Change_Redline_20260624.pdf Supplementary Document 06/25/2026 Crosswalk: Bona Fide Service Fee Certification Form Crosswalk of Nonsubstantive Changes - Certification Form.xlsx Supplementary Document 06/25/2026 Redline: Certifier User Guide DTS-ASP-Certifier-UserGuide-20260518_Redline.pdf Supplementary Document 06/25/2026 Crosswalk: Certifier User Guide Crosswalk of Nonsubstantive Changes - Certifier User Guide.xlsx Supplementary Document 06/25/2026 Redline: Submitter User Guide DTS-ASP-Submitter-UserGuide-20260518_Redline.pdf Supplementary Document 06/25/2026 Crosswalk: Submitter User Guide Crosswalk of Nonsubstantive Changes - Submitter User Guide.xlsx Supplementary Document 06/25/2026 CMS-10110 (0938-0921) Justification of Non-sub Change (2026 version 5) CMS-10110 (0938-0921) Justification of Non-sub Change (2026 version 5).docx Justification for No Material/Nonsubstantive Change 06/25/2026 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received