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Form CMS-10209 QIP Attestation
Chronic Care Improvement Program and Medicare Advantage Quality Improvement Project (CMS-10209)
Attachment 2_Non-Rule QIP Attestation
Attestations
OMB: 0938-1023
OMB.report
HHS/CMS
OMB 0938-1023
ICR 201804-0938-016
IC 229160
Form CMS-10209 QIP Attestation
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1023 can be found here:
2021-06-17 - Revision of a currently approved collection
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Brandy Alston
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2021-01-20
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