DE Entity Operational Readiness Review (ORR)

Supporting Statement for Direct Enrollment Entities (CMS-10877)

OMB: 0938-1463

IC ID: 263264

Documents and Forms

Document Name Document Type
Form CMS-10877 DE Entity Operational Readiness Review (ORR) Form and Instruction
CMS-10877 Documentation and Audit Package Appendix_E_DEE-Documentation-Package_v1.7_508.pdf Form and Instruction
CMS-10877 Privacy Questiionaire Appendix_F_EDE-Privacy-Questionnaire_08.02.22_508.pdf Form and Instruction
Appendix_G_API-Functional-Integration-Toolkit_03.31.23_508.pdf Instruction
CMS-10877 Application User Interface Toolkit Appendix_H_Application-UI-Toolkit_v3.1_03.31.23_508.pdf Form and Instruction
CMS-10877 Communications Toolkit Appendix_J_EDE-Business-Audit-Instructions-Report-Template_PY2024_508.pdf Form and Instruction
CMS-10877 Eligibility Results Toolkit Appendix_K_EDE-Eligibility-Results-Toolkit-Phase1_PY2023_Final_508.pdf Form and Instruction
CMS-10877 Eligibility Results Toolkit - Phase 2 Appendix_L_EDE-Eligibility-Results-Toolkit-Phase2_PY2023_Final_508.pdf Form and Instruction
CMS-10877 Eligibility Results Toolkit - Phase 3 Appendix_M_EDE-Eligibility-Results-Toolkit-Phase3_PY2023_Final_508.pdf Form and Instruction
CMS-10877 Change Notification Form Appendix_N_EDE-Entity-Initiated-Change-Notification-Form_v2_508.pdf Form and Instruction
CMS-10877 Business Agreement BY 2024 Appendix_O_EDE_Business_Agreement_PY_2024_Final_508.pdf Form and Instruction
CMS-10877 INTERCONNECTION SECURITY AGREEMENT Appendix_Q_CMS-EDE-ISA-Template_v3.4_Final_508.pdf Form
CMS-10877 EDE Communication Toolkit Appendix_I_EDE-Communications-Toolkit_03.10.23_508.pdf Form and Instruction
CMS-10877 SAP Template Appendix_P_NEE-EDE-SAP-Template_v3.1_Final_02.24.22_508.pdf Form and Instruction