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Conducting CMRs with the standardized format and Fulfillment burden
Medication Therapy Management Program – Standardized Format (CMS-10396)
MTM Program Standardized Format (English Spanish)(v10.18.2021)
Conducting CMRs with the standardized format and Fulfillment burden
OMB: 0938-1154
OMB.report
HHS/CMS
OMB 0938-1154
ICR 202301-0938-010
IC 199672
Conducting CMRs with the standardized format and Fulfillment burden
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⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1154 can be found here:
2024-03-22 - Reinstatement without change of a previously approved collection
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