1 De-selected

Centers for Medicare & Medicaid
Services
CMS eXpedited Life Cycle (XLC)

Medicaid and CHIP Program (MACPro)
S3a - De-selected RU PRA Document
Version 1.0
08/16/2017

Document Number: 188-QSSI-MACPro-R5.1-S3a-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. S3a – De-selected RU Screenshots ........................................................................ 1
1.1
1.2

Package Header ............................................................................................. 1
Group No Longer Covered .............................................................................. 1

List of Figures
Figure 1: Package Header .............................................................................................. 1
Figure 2: Group No Longer Covered ............................................................................... 1

List of Tables
No table of figures entries found.

S3a - De-selected RU PRA Document Version 1.0

i

08/16/2017

CMS XLC

Package Header

1. S3a – De-selected RU Screenshots
1.1

Package Header

Figure 1: Package Header

1.2

Group No Longer Covered

Figure 2: Group No Longer Covered

S3a - De-selected RU PRA Document Version 1.0

1

08/16/2017