CMS-10287 Justification

CMS-10287 Justification.docx

Medicare Quality of Care Complaint Form

CMS-10287 Justification

OMB: 0938-1102

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There was a minor change made to the Medicare Quality of Care Complain Form for clarification purposes. Question Number 10 was revised to delete "and ensure a satisfaction survey is sent to me concerning my complaint". The current language as stated may allow for misinterpretation of whether a beneficiary would like to receive the satisfaction survey if he/she were to select "no" on question #9.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorDenise King
File Modified0000-00-00
File Created2021-01-28

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