Form B Certification

Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CMS-10169)

Proposed Form B - Certification (No Changes)

Form B: Bidding Form

OMB: 0938-1016

Document [pdf]
Download: pdf | pdf
File Typeapplication/pdf
File TitleProposed Form B Certification (No Changes)
AuthorMitch Bryman
File Modified2025-07-03
File Created2025-07-03
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