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CMS-R-0282 Sample Form
ICR 202302-0938-004 · OMB 0938-0778 · Object 128607102.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | CMS-R-0282 Sample Form |
| Subject | Sample Form for MA Appeals and Grievances |
| Author | CMS/CPC/MEAG/DAP |
| File Created | 2023-08-29 |
| Conversion State | partial |