Data Elements

CMS-2334-F2-APPENDIX B.PDF

Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel - CAC (CMS-10494)

Data Elements

OMB: 0938-1205

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APPENDIX B
Registration Data Elements
User ID (Self assigned during the CMS Enterprise Portal registration)
First Name
Last Name
E-mail Address
Phone Number
State
Zip Code
User Type – Agent/Broker (role and NPN), Navigators (employer or
grantee organization), Certified application counselor (organization)


File Typeapplication/pdf
AuthorTricia Beckmann
File Modified2013-07-10
File Created2013-07-10

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