SUMMARY OF CHANGES TO 1011 PPD & On-Call

SUMMARY OF CHANGES TO 1011 PPD & On-Call.doc

Federal Funding of Emergency Health Services (Section 1011); Provider Payment Determination and On-Call Cost Forms

SUMMARY OF CHANGES TO 1011 PPD & On-Call

OMB: 0938-0952

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SUMMARY OF CHANGES TO THE FEDERAL REIMBURSEMENT OF EMERGENCY HEALTH SERVICES FURNISHED TO UNDOCUMENTED ALIENS “SECTION 1011 PROVIDER PAYMENT DETERMINATION” FORM and “REQUEST FOR SECTION 1011 HOSPITAL ON-CALL PAYMENTS TO PHYSICIANS” FORM

(CMS FORM #10130A&B, OMB FORM #0938-0952)

July 9, 2008



No changes to these forms are being requested.

File Typeapplication/msword
File TitleSUMMARY OF CHANGES TO THE FEDERAL REIMBURSEMENT OF EMERGENCY HEALTH SERVICES FURNISHED TO UNDOCUMENTED ALIENS (SECTION 1011) PRO
AuthorMelissa Dehn
Last Modified ByMelissa Dehn
File Modified2008-07-14
File Created2008-07-09

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