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Form CMS-10117 CCP CMS-10117 CCP Application Coordinated Care Plans
Medicare Advantage Applications - Part C
PRACollection CMS10117-CCP.zip
Medicare Advantage Applications
OMB: 0938-0935
OMB.report
HHS/CMS
OMB 0938-0935
ICR 200612-0938-009
IC 8785
Form CMS-10117 CCP CMS-10117 CCP Application Coordinated Care Plans
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0935 can be found here:
2022-10-13 - Revision of a currently approved collection
2020-01-07 - Revision of a currently approved collection
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