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CMS-10396_Supporting Statement_A (CMS-4102-P version 6)
CMS-10396_Supporting Statement_A (CMS-4102-P version 6).docx
Medication Therapy Management Program – Standardized Format (CMS-10396)
OMB: 0938-1154
OMB.report
HHS/CMS
OMB 0938-1154
ICR 202301-0938-010
CMS-10396_Supporting Statement_A (CMS-4102-P version 6)
( Supporting Statement A )
⚠️ Notice: This form may be outdated.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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