Document

Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced APM Determinations (Eligible Clinician I

ICR 202101-0938-003 · OMB 0938-1314 · Object 107561301.

Document Viewer [pdf]

Status: Original and derived artifacts are available for this document.

Download: pdf

Primary: pdfSource: application/octet-stream
Loading document viewer…
Document Metadata
File Typeapplication/octet-stream
File TitleSubmission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced APM Determinations (Eligible Clinician I
AuthorCMS
File Modified2020-08-03
File Created2020-08-03
Conversion Statecomplete