Crosswalk (after 60-day)

Proposed CMS-10630 (Prior to 60-day
Comment Period)

Summary of Changes in Proposed CMS-10630
(For 30-day comment period)

Type of
Change

Explanation of Changes

Burden
Impact

AttachmentIPACEAuditProtocol, Audit
Elements, Service Determination
Requests, Appeals, and Grievances (SDAG)
AttachmentIPACEAuditProtocol, Appendix
A

•

Modified compliance standard 3.3.2.4 to
include oral notification

Modify

Technical change

None

•

Corrected typos

Modify

Technical changes

None

AttachmentIPACEAuditProtocol, Appendix
A, Table 1: Service Determination
Requests (SDR) Record Layout

•

Modified column J description to include oral
notification

Modify

Technical change

None

AttachmentIPACEAuditProtocol, Appendix
A, Table 7: Contracted Entities and
Providers (CEP) Record Layout
AttachmentIIPACESupplementalQuestions

•

Corrected typo

Modify

Technical change

None

•

Removed obsolete instruction bullet

Modify

Technical changes

None

AttachmentIIIPreAuditIssueSummary

•

Corrected instruction bullet typo

Modify

Technical change

None

CaseFileCoverSheets

•

Modified instructions/corrected typo

Modify

None

CAPTemplate

•

Modified instructions

Modify

Technical change, minor wording
change for clarity
Minor wording changes for clarity

WoundCare1P02 Impact Analysis

•

Corrected typo on Participant Impact tab

Modify

Technical change

None

None

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