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CMS-10711.Supporting Statement Part A
CMS-10711.Supporting Statement Part A.docx
Proposed Prior Authorization Process and Requirements for Certain Hospital Outpatient Department (OPD) Services (CMS-10711)
OMB: 0938-1368
OMB.report
HHS/CMS
OMB 0938-1368
ICR 202212-0938-002
CMS-10711.Supporting Statement Part A
( Supporting Statement A )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1368 can be found here:
2024-05-24 - Extension without change of a currently approved collection
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