Medication Therapy Management Program – Standardized Format (CMS-10396)
ICR 202301-0938-010
OMB: 0938-1154
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1154 can be found here:
Forms and Documents
Document Name | Status |
|---|---|
Supporting Statement A | 2023-01-18 |
CMS-10396_Supporting Statement_A (CMS-4102-P version 6).docxIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 199672 | Modified |
Conducting CMRs with the standardized format and Fulfillment burdenICR Details
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