Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A)

Medicare Current Beneficiary Survey (MCBS)

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0568 can be found here:

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Created 01/04/01

OM2

Diabetic Equipment or Supplies
Syringes
Test Paper
Test Strips
Blood Monitoring Kits