Crosswalk

2022Crosswalk for CMS-10065-10066_SPANISH.xlsx

Hospital Notices: IM / DND (CMS-10065/10066)

Crosswalk

OMB: 0938-1019

Document [xlsx]
Download: xlsx | pdf
Currently approved version Non-substantive change package version Type of Change Reason for Change Burden Change
CMS does not discriminate in its programs and activities. To request this publication in alternative format, please call: 1-800-MEDICARE or email:[email protected]. Tiene derecho a obtener información de Medicare en un formato accesible, como letra grande, Braille o audio. También tiene derecho a presentar una queja si considera que ha sido discriminado.

Visite Medicare.gov/about-us/accessibility-nondiscrimination-notice, o llame al 1-800-MEDICARE (1-800-633-4227) para más información. Los usuarios de TTY pueden llamar al 1-877-486-2048.
Nonsubstantive This is the new standardized nondiscrimination language required on CMS forms and notices No
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

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