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pdf2010 CMS 855 Forms Revisions
Question Number
Question
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Reason
N/A
Addition of accesiblity disclaimer at the bottom of
the page
N/A
To align with other CMS' forms. This discliamer notifies respondents of the right
to have the form sent in an alternate format
Page 1 of 2
T:\PACKAGES\R251-300\276 - 300\297\2019\2 - Initial 60-day Incoming\10.25\Crosswalk
2010 CMS 855 Forms Revisions
Question Number
Question
Previous Location
Reason
Page 2 of 2
T:\PACKAGES\R251-300\276 - 300\297\2019\2 - Initial 60-day Incoming\10.25\Crosswalk
| File Type | application/pdf |
| Author | owner |
| File Modified | 2019-10-31 |
| File Created | 2019-10-31 |