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Attachment A Crosswalk: Model of Care Matrix Document: Initial and Renewal Submission
Crosswalk Attachment A CMS 10565 OMB 0938-1296 Final.docx
Initial and Renewal Model of Care Submissions, and Off-cycle Submission of Summaries of Model of Care Changes (CMS-10565)
Attachment A Crosswalk: Model of Care Matrix Document: Initial and Renewal Submission
OMB: 0938-1296
OMB.report
HHS/CMS
OMB 0938-1296
ICR 202105-0938-005
Attachment A Crosswalk: Model of Care Matrix Document: Initial and Renewal Submission
( Supplementary Document )
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