2019 (old version) Header: Fax 2020 (new version) Header: Email Type of Change Rev Reason for Change The Fax field is no longer relevant Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation. Burden Change N/A
| File Type | application/pdf |
| File Title | CMS Form-304a Prior Quarter Adjustment Statement (PQAS)_Crosswalk_07.2021.xlsx |
| Author | LOKG |
| File Modified | 2020-11-03 |
| File Created | 2020-11-03 |