Form CMS-10169 CHOW 30-day Notice(Change of Ownership Form)
Requests for Bids (RFB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program
CHOW 30 Day 508
Change of Ownership (CHOW) Forms-60-day & 30-day notices
OMB: 0938-1016
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1016 can be found here:
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| File Type | application/pdf |
| File Title | CHOW 30 Day Form |
| Subject | CHOW 30 Day Form |
| Author | Palmetto GBA/CBIC |
| File Modified | 2016-10-04 |
| File Created | 2016-10-04 |