Form CMS-10492 Notice of Availability of Separate Contraception Payment

Data Submission Requirements to Receive the Federally-facilitated Exchange User Fee Adjustment (CMS-10492)

CMS-10492 - Issuer and TPA data elements for FFE adjustment

Data Submission for the Federally-facilitated Exchange User Fee Adjustment (Fully Insured Issuers)

OMB: 0938-1285